National Provider Identifier Database

ARCHIE J CHAMPION III, PA-C – NPI #1710944681
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

ARCHIE J CHAMPION III, PA-C
3301 FIRST STREET EAST
SUITE A
VIDALIA, GA30474
Phone: 912-537-4411
Fax: 912-538-8485
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for ARCHIE J CHAMPION III

NPI Number 1710944681
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/26/2006
Last updated 07/29/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 003747
  • GA Medicaid: 019893311A
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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