ARCHIE JOEL CHAMPION

VIDALIA, GA
NPI1710944681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  003747)
Enumeration Date2006-04-26
Last Update Date2010-07-29
Business Address
Mr. ARCHIE JOEL CHAMPION PA-C
3301 FIRST STREET EAST SUITE A
VIDALIA, GA 30474
Phone number: 912-537-4411
Mailing Address
Mr. ARCHIE JOEL CHAMPION PA-C
3301 FIRST STREET EAST SUITE A
VIDALIA, GA 30474
Phone number: 912-537-4411