Individual provider · Type 1 NPI

Randall E. Champion

Driver · Farmington, AR

NPI number 1902363849 Active

Practice location

120 Southwinds Rd Ste 2
Farmington, AR 72730-8652

Call (479) 300-6400 Map

Mailing address

1900 Stillwater Dr
Jonesboro, AR 72404-9119

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X938795393 (AR)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1902363849

Randall E. Champion's National Provider Identifier is 1902363849, issued on Feb 27, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Farmington, AR. The record was last updated on Feb 27, 2019.