Whalio Doctors

NPI 1619457611

Champion Transportation, LLC

Organisation Non-emergency Medical Transport (VAN) Olive Branch, MS

Practice location

Address
5057 Braham Dr, Olive Branch, MS 38654-4503
Phone
(662) 519-6207
Mailing address
419 Crump St, Sardis, MS 38666-1535

Authorised official

Name
Trosiki Pettis
Title
Owner
Phone
(662) 519-6207

Registered specialties

Non-emergency Medical Transport (VAN) Primary
Transportation Services Taxonomy 343900000X

Registry record

NPI
1619457611
Entity type
Organization
NPI issued
19 Aug 2018
Record last updated
19 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.