Champion Care, LLC
NPI #1568193175 in Jackson, Mississippi
Provider Information
- NPI Number
- 1568193175
- Entity Type
- Organization
- Organization Name
- Champion Care, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 1850 CHADWICK DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-3404
- Phone
- (601) 790-0233
Authorized Official
- Name
- SAMANTHA N SMITH
- Title
- MANAGER
- Phone
- (601) 790-0233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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