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NPI Code Detail

MEDICARE: VICTORIA JAMES RN

MEDICARE:   VICTORIA  JAMES  RN
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
1246RP1900XPhlebotomy Technician
2163W00000XRegistered Nurse291864GA

General Provider Information

NPI Number : 1528813557
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA JAMES RN
Provider Business Mailing Address
First Line : 802 E MARTINTOWN RD STE 110F
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-5328
Country : US
Telephone Number : 803-226-7838
Fax Number : 803-991-5560
Provider Business Practice Location Address
First Line : 802 E MARTINTOWN RD STE 110F
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-5328
Country : US
Telephone Number : 803-226-7838
Fax Number : 803-991-5560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 04/22/2024

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