Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
VICTORIA T MANSOUR, MD
ActivePain Medicine (PM&R) · MACON, GA
Registration Details
- NPI Number
- 1265444228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 11, 2006 (19.692844008359 yrs)
- Last Updated
- Nov 20, 2007
- License
-
054495 (GA)
Practice Information
- Address
-
3312 NORTHSIDE DR STE A110MACON, GA, 312102520Browse GA providers · Browse ZIP 31210
- Phone
- 4784772314
- Fax
- 4784773599
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.