| Doctor Name: | MR. EDGAR TATING VICTORIA |
| NPI Number: | 1023122421 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 00007957 |
| Business Practice Address: | 1411 Piedmont Cutoff Gadsden, AL - 35903 |
| Business Phone Number: | 2564920131 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 97, GADSDEN |
| State: | AL |
| Postal Code: | 35902 |
| Phone Number: | 2564920131 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 03/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 00007957 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |