Organization
CHAMPION TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROSIKI PETTIS (OWNER)
(662) 519-6207
Entity
Organization
Contact information
Practice address
5057 BRAHAM DR, OLIVE BRANCH, MS 38654-4503
(662) 519-6207
Mailing address
419 CRUMP ST, SARDIS, MS 38666-1535
(662) 519-6207
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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