Individual
MR. CHADWICK DEWAYNE CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 MAIN ST, GREENSBORO, AL 36744-1552
(334) 624-3950
Mailing address
PO BOX 6, LIVINGSTON, AL 35470-0006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5677
AL
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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