Individual
BROOKE DAVIS CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8331 BANDFORD WAY STE 101, RALEIGH, NC 27615-2765
(919) 841-4566
Mailing address
95 FALL HARVEST CT, FRANKLINTON, NC 27525-8450
(919) 616-8570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11889
NC
Other
Enumeration date
05/15/2021
Last updated
07/07/2022
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