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Individual

DR. EMILY CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
147 NORTHSIDE DR E, STATESBORO, GA 30458-4760
(912) 764-7914
Mailing address
1881 SS RAILROAD BED RD APT 203, STATESBORO, GA 30461-8612
(423) 432-5304

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003157
GA

Other

Enumeration date
06/22/2019
Last updated
06/22/2019
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