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1710944681
ARCHIE JOEL CHAMPION
VIDALIA, GA
NPI
1710944681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 003747)
Enumeration Date
2006-04-26
Last Update Date
2010-07-29
Business Address
Mr. ARCHIE JOEL CHAMPION PA-C
3301 FIRST STREET EAST SUITE A
VIDALIA, GA 30474
Phone number: 912-537-4411
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Mailing Address
Mr. ARCHIE JOEL CHAMPION PA-C
3301 FIRST STREET EAST SUITE A
VIDALIA, GA 30474
Phone number: 912-537-4411
Copy
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