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Contact Information

VICTORIA T MANSOUR, MD
3312 NORTHSIDE DR STE A110
MACON, GA31210-2520
 Phone: 478-477-2314
 Fax: 478-477-3599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for VICTORIA T MANSOUR · (Female)

NPI Number 1265444228
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 11/20/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 054495
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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