Organization
CHAMPION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY LYNN DAVIS (OWNER)
(504) 241-3560
Entity
Organization
Contact information
Practice address
9890 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2607
(504) 241-3560
Mailing address
9890 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2607
(504) 241-3560
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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