Provider Demographics
NPI:1528813557
Name:JAMES, VICTORIA (RN)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:802 E MARTINTOWN RD STE 110F
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29841-5328
Mailing Address - Country:US
Mailing Address - Phone:803-226-7838
Mailing Address - Fax:803-991-5560
Practice Address - Street 1:802 E MARTINTOWN RD STE 110F
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29841-5328
Practice Address - Country:US
Practice Address - Phone:803-226-7838
Practice Address - Fax:803-991-5560
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246RP1900X
GA291864163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No163W00000XNursing Service ProvidersRegistered Nurse