Organization
CHAMPION FAMILY MEDICAL & WELLNESS CENTER- URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON CHAMPION (ADMINISTRATOR)
(228) 467-4431
Entity
Organization
Contact information
Practice address
303B HIGHWAY 90, BAY ST LOUIS, MS 39520-2832
(228) 467-4431
(228) 467-4443
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(228) 467-4431
(228) 846-7444
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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