Archie Joel Champion in Vidalia - Physician Assistant
Archie Joel Champion - NPI 1710944681
Archie Joel Champion is a Physician Assistant in Vidalia, Georgia. Archie Joel Champion practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Archie Joel Champion is 1710944681. The last update date is 2010-07-29.
Archie Joel Champion's current location address is 3301 First Street East, Vidalia, Georgia. You can contact this provider via phone number 9125374411 and fax number 9125388485. The mailing address for Archie Joel Champion is 3301 First Street East, Vidalia, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Archie Joel Champion |
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Address | 3301 First Street East, Vidalia, Georgia |
Phone Number | 9125374411 |
Fax Number | 9125388485 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1710944681 |
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Provider Enumeration Date | 2006-04-26 |
Last Updated Date | 2010-07-29 |
Provider Mailing Address Detail
Address | 3301 First Street East |
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City | Vidalia |
State | Georgia (GA) |
Post Code | 30474 |
Phone Number | 9125374411 |
Fax Number | 9125388485 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 3747 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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019893311A | GA | -- |
Post Comment/ Review Below
What is the Archie Joel Champion's unique identification number?
The Archie Joel Champion has been assigned the NPI (National Provider Identifier) Number 1710944681 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Archie Joel Champion located?
The Archie Joel Champion is located at 3301 First Street East, Vidalia, GA 30474.
What is Archie Joel Champion's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Archie Joel Champion is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Archie Joel Champion receive the assignment of its 1710944681 from the Centers for Medicare & Medicaid Services?
The Archie Joel Champion was issued its 1710944681 by the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date was the information pertaining to Archie Joel Champion, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Archie Joel Champion, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-29.