Champion Orthopaedics, Llc

Orthopedic Clinic


  
6518 Goodman Rd Ste 104, Olive Branch
Mississippi, 38654-9809

 662-420-7350     662-874-5214Maps & Directions
Champion Orthopaedics, Llc is a Orthopedic Clinic in Olive Branch, Mississippi. This organization is also known as sub part of Mitias Orthopaedics, Pllc. It is situated at 6518 Goodman Rd Ste 104, Olive Branch and its contact number is 662-420-7350. The authorized person of Champion Orthopaedics, Llc is Jennifer C Bullock who is President of the clinic and their contact number is 662-534-2298.
Complete Clinic Profile:
Champion Orthopaedics, Llc Clinic speciality, address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization: Orthopedic Surgery
Clinic Address:6518 Goodman Rd Ste 104, Olive Branch,
Mississippi, 38654-9809
Phone:662-420-7350
Fax:662-874-5214
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Jennifer C Bullock
Position: President
Contact Number: 662-534-2298
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Champion Orthopaedics, Llc Clinic are as mentioned below.
NPI Number: 1619346111
Parent Organization: Mitias Orthopaedics, Pllc
NPI Enumeration Date: 15 Sep, 2015
NPI Last Update On: 21 Aug, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Champion Orthopaedics, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Orthopaedic Surgery Primary
Nurse Practitioner Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
02654844MedicaidMississippi
512G700048OtherMississippiMedicare Ptan
6131110004OtherMississippiMedicare Dme Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Champion Orthopaedics, Llc
6518 Goodman Rd Ste 104,
Olive Branch, Mississippi
Zip: 38654-9809
Phone Number: 662-420-7350
Fax Number: 662-874-5214
Patients can reach Champion Orthopaedics, Llc at 6518 Goodman Rd Ste 104, Olive Branch, Mississippi or can call to book an appointment on 662-420-7350. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

Comments/ Reviews:


Orthopedic: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
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