| NPI | 1770865396 |
|---|---|
| Doing Business As | VICTORY PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT JACKSON Organizer 706-951-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2013-04-15 |