Organization
CHAMPION MEDICAL SUPPLY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL NOLES (COO)
(478) 363-9250
Entity
Organization
Contact information
Practice address
1264 RIBAUT RD STE 402, BEAUFORT, SC 29902-6129
(843) 470-3755
(843) 322-3203
Mailing address
463 POOLER PKWY # 163, POOLER, GA 31322-5102
(478) 363-9250
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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