NPI 1619457611
Champion Transportation, LLC
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
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.