Organization
CHAMPION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA N SMITH (MANAGER)
(601) 790-0233
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 790-0233
Mailing address
PO BOX 41, RIDGELAND, MS 39158-0041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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