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Individual

DR. PATRICIA P CHAMPION

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1541
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10716
BLUE CROSS BLUE SHIELD
NC
01
114419
EYEMED
NC
01
1329153
CIGNA
NC
01
2271058
UNITED HEALTHCARE
NC
05
890911X
NC
01
NC01541
VISION BENEFITS OF AMERIC
NC
Enumeration date
06/21/2006
Last updated
11/05/2019
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