MEDICARE: CHAMPION EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

General Provider Information

NPI Number	:	1265087779
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAMPION EMS

Provider Business Mailing Address
First Line	:	2945 STONE HOGAN CONNECTOR RD SW STE 211
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2839
Country	:	US
Telephone Number	:	770-744-9157
Fax Number	:

Provider Business Practice Location Address
First Line	:	2945 STONE HOGAN CONNECTOR RD SW STE 211
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-2839
Country	:	US
Telephone Number	:	770-744-9157
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARELIOUS DUNN
Credential	:
Telephone Number	:	770-744-9157

Provider Enumeration Date	:	08/02/2019
Last Update Date	:	12/02/2025

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Directions to “CHAMPION EMS ” Practice Location

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