| Champion Family Medical & Wellness Center- Urgent Care | |
|
303b Highway 90 Bay St Louis MS 39520-2832 | |
| (228) 467-4431 | |
| (228) 467-4443 |
| Full Name | Champion Family Medical & Wellness Center- Urgent Care |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 303b Highway 90, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Brandon Champion (ADMINISTRATOR) |
| Authorized Official Contact | 2284674431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Family Medical & Wellness Center- Urgent Care Po Box 17708 Hattiesburg MS 39404-7708 Ph: (228) 467-4431 | Champion Family Medical & Wellness Center- Urgent Care 303b Highway 90 Bay St Louis MS 39520-2832 Ph: (228) 467-4431 |
| NPI Number | 1801174230 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801174230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
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