ARCHIE J CHAMPION

MARK SPIVEY ORTHOPEDIC CLINIC LLC

Dr ARCHIE J CHAMPION is a male medical professional, specializing in Physician Assistant. He graduated in 2001.

Contact

MARK SPIVEY ORTHOPEDIC CLINIC LLC

3301 1ST ST E
SUITE A
VIDALIA
GA
30474

Tel: 9125374411

ARCHIE J CHAMPION Information

Npi 1710944681
Pac Id 8224104211
Professional Enrollment Id I20080827000192
Last Name CHAMPION
First Name ARCHIE
Middle Name J
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARK SPIVEY ORTHOPEDIC CLINIC LLC
Group Practice Pac Id 5395797336
Number Of Group Practice Members 4
Line 1 Street Address 3301 1ST ST E
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City VIDALIA
State GA
Zip Code 30474
Phone Number 9125374411
Hospital Affiliation Ccn 1 110128
Hospital Affiliation Lbn 1 MEADOWS REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 110125
Hospital Affiliation Lbn 2 FAIRVIEW PARK HOSPITAL
Hospital Affiliation Ccn 3 111327
Hospital Affiliation Lbn 3 BACON COUNTY HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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