Individual
MR. DARRYL DESHAWN CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDX
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
Primary
—
—
247100000X
Radiologic Technologist
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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