Organization
CHAMPION MEDICAL SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY HUBERT NZERIBE (MANAGING DIRECTOR)
(205) 588-6111
Entity
Organization
Contact information
Practice address
1220 16TH ST S, SUITE 100, BIRMINGHAM, AL 35205-4716
(205) 588-6111
(205) 588-8113
Mailing address
1220 16TH ST S, SUITE 100, BIRMINGHAM, AL 35205-4716
(205) 588-6111
(205) 588-8113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201269
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201269
CITY OF BIRMINGHAM BUSINESS LICENSE
AL
Enumeration date
03/29/2011
Last updated
03/29/2011
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