Champney, Michael Scott

Champney, Michael Scott is an individual health care provider with primary practice located at 2665 N Decatur Rd Ste. 730, Decatur GA 30033-6149. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Champney, Michael Scott can be contacted via phone (404) 508-4320.

Contact Information

Primary practice address
2665 N Decatur Rd Ste. 730 Decatur GA 30033-6149
Phone: (404) 508-4320
Fax: (404) 508-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 053116 Georgia

Profile Details

NPI number 1386637403
LBN Legal business name Champney, Michael Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 29th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386637403 NPPES
Georgia MEDICAID 790771180A

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