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Organization
DARRYL CHAMPION
Active
Organization
DARRYL CHAMPION
Active
Other names
MD Mobile Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL D. CHAMPION MDV (OWNER/TECH)
(615) 554-7401
Entity
Organization
Contact information
Practice address
444 LEALAND LANE, LEBANON, TN 37087
(615) 554-7401
(615) 547-9323
Mailing address
444 LEALAND LANE, LEBANON, TN 37087
(615) 554-7401
(615) 547-9323
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
—
—
247100000X
Radiologic Technologist
Primary
—
TN
Other
Enumeration date
08/23/2010
Last updated
04/07/2011
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