Organization
CHAMPIONS CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON CHRISTOPHER GIBBS MD (OWNER)
(706) 831-0204
Entity
Organization
Contact information
Practice address
1537 WALTON WAY, AUGUSTA, GA 30904-3764
(706) 731-1200
Mailing address
3660J J DEWEY GRAY CIR, AUGUSTA, GA 30909-6424
(706) 504-4651
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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