Individual
DR. ERNEST JONATHAN CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1120 AIRPORT DR, STE 104, ALEXANDER CITY, AL 35010-3436
(256) 329-8400
(256) 329-8200
Mailing address
1120 AIRPORT DR, STE 104, ALEXANDER CITY, AL 35010-3436
(256) 329-8400
(256) 329-8200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-908 TA 463
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95104
BLUE CROSS PIN #
AL
Enumeration date
11/08/2005
Last updated
08/29/2007
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