Individual
VINCENT CHAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MD12768
RI
2085B0100X
Body Imaging Physician
MD12768
RI
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
MD12768
RI
2085N0700X
Neuroradiology Physician
MD12768
RI
2085N0904X
Nuclear Radiology Physician
MD12768
RI
2085P0229X
Pediatric Radiology Physician
MD12768
RI
2085R0001X
Radiation Oncology Physician
MD12768
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD12768
RI
2085R0203X
Therapeutic Radiology Physician
MD12768
RI
2085R0204X
Vascular & Interventional Radiology Physician
MD12768
RI
2085R0205X
Radiological Physics Physician
MD12768
RI
2085U0001X
Diagnostic Ultrasound Physician
MD12768
RI
Other
Enumeration date
04/16/2007
Last updated
11/22/2013
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