Victory Medical Pllc
NPI #1356917793 in Bladenboro, North Carolina
Provider Information
- NPI Number
- 1356917793
- Entity Type
- Organization
- Organization Name
- Victory Medical Pllc
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- May 27, 2021
- Last Updated
- Aug 11, 2021
Practice Location
- Address
- 305 SOUTH MAIN STREET
- City
- Bladenboro
- State
- North Carolina
- ZIP Code
- 28320
- Phone
- (910) 809-0082
Authorized Official
- Name
- DAPHNE RUSS GREEN, NP
- Title
- FNP/OWNER
- Phone
- (910) 770-1514
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Clinic/Center - Primary Care — Primary Care |
| Nurse Practitioner - Primary Care — Primary Care |
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