Champion Transportation, LLC
NPI #1619457611 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1619457611
- Entity Type
- Organization
- Organization Name
- Champion Transportation, LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 19, 2018
- Last Updated
- Aug 19, 2018
Practice Location
- Address
- 5057 BRAHAM DR
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-4503
- Phone
- (662) 519-6207
Authorized Official
- Name
- TROSIKI PETTIS
- Title
- OWNER
- Phone
- (662) 519-6207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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