Provider Demographics
NPI:1780642942
Name:MUSEY, VICTORIA CECILIA (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:CECILIA
Last Name:MUSEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST
Mailing Address - Street 2:SUITE 1010 MOT
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2432
Mailing Address - Country:US
Mailing Address - Phone:404-523-1745
Mailing Address - Fax:404-523-2756
Practice Address - Street 1:550 PEACHTREE ST
Practice Address - Street 2:SUITE 1010 MOT
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2432
Practice Address - Country:US
Practice Address - Phone:404-523-1745
Practice Address - Fax:404-523-2756
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018169174400000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000118621EMedicaid
GAD41949Medicare UPIN
GA000118621EMedicaid