MEDICARE: DR. VICTORIA ST GERMAIN DC

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
1	171100000X	Acupuncturist	2507	NC
2	111N00000X	Chiropractor	2507	NC

General Provider Information

NPI Number	:	1629006440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA ST GERMAIN DC

Provider Business Mailing Address
First Line	:	6303 CARMEL RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8281
Country	:	US
Telephone Number	:	704-541-4747
Fax Number	:	704-541-4746

Provider Business Practice Location Address
First Line	:	6303 CARMEL RD STE 101
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-8281
Country	:	US
Telephone Number	:	704-541-4747
Fax Number	:	704-541-4746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	10/31/2023

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Directions to “ DR. VICTORIA ST GERMAIN DC” Practice Location

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