Organization
CHAMPION HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON KEITH WILLIAMS (PRESIDENT)
(919) 434-5100
Entity
Organization
Contact information
Practice address
2949 NEW BERN AVE, STE. 108, RALEIGH, NC 27610-1248
(919) 500-3464
(919) 800-3413
Mailing address
2949 NEW BERN AVE, STE. 108, RALEIGH, NC 27610-1248
(919) 500-3464
(919) 800-3413
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
07/25/2012
Last updated
03/10/2015
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