Organization
CHAMPION WOUND SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE RENA TENNEY NP (OWNER)
(877) 258-6331
Entity
Organization
Contact information
Practice address
201 W KAY ST, DAYTON, TX 77535-2256
(877) 258-6331
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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