Timothy Wayne Champion, FNP-CFRN-NRP
Nurse Practitioner, Family in Calhoun, GA. Individual provider (NPI-1).
NPI number1316439532
StatusActive
Last updated in NPPESJun 4, 2018
Details
- NPI
- 1316439532
- Entity type
- Individual (NPI-1)
- Name
- Timothy Wayne Champion
- Credential
- FNP-CFRN-NRP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2018
- Last updated
- Jun 4, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN135837 | GA | Yes |
Practice location
251 Highway 53 ECalhoun, GA 30701-3026
Phone 706-625-4410
Mailing address
420 E 2nd Ave Ste 103Rome, GA 30161-3210
Phone 706-509-3000
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