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NPI Code Detail

MEDICARE: VICTORY HEALTH LLC

MEDICARE: VICTORY HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2363LF0000XFamily Nurse Practitioner
3208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1497283634
Entity Type Code : Organization
Provider Name (Legal Business Name) : VICTORY HEALTH LLC
Provider Business Mailing Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number : 256-582-1053
Provider Business Practice Location Address
First Line : 1231 GUNTER AVE
Second Line :
City : GUNTERSVILLE
State : AL
Zip : 35976-1841
Country : US
Telephone Number : 256-582-1066
Fax Number : 256-582-1053
Authorized Official
Title or Position : OWNER
Name : RICHARD E BECHERT
Credential : DC
Telephone Number : 256-582-1066
Provider Enumeration Date : 06/01/2017
Last Update Date : 07/21/2022

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Directions to “VICTORY HEALTH LLC ” Practice Location

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