NPI | 1043351703 |
---|---|
Doing Business As | CHAMPION ORTHOPEDICS |
Entity Type | Organization |
Authorized Contact | PATRICIA A. KINNEY Administrator 706-210-7529 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
207QS0010X Family Medicine, Sports Medicine | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
225100000X Physical Therapist | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2015-02-07 |