Champion, Tina Michell
Champion, Tina Michell is an individual health care provider with primary practice located at 1980M N Columbia St , Milledgeville GA 31061-2020. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Champion, Tina Michell can be contacted via phone (478) 387-7015.Contact Information
Primary practice address
1980M N Columbia St
Milledgeville GA 31061-2020
Phone: (478) 387-7015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019025754 | Illinois |
| Dental Providers / General Practice | 1223G0001X | DN015080 | Georgia |
| Dental Providers / Dentist | 122300000X | DN015080 | Georgia |
Profile Details
| NPI number | 1407019243 |
|---|---|
| LBN Legal business name | Champion, Tina Michell |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | May 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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