OrganizationActive
Champ Vascular, LLC
NPI 1669019394 · Interventional Cardiology Physician · Newnan, GA
Provider details
- NPI number
- 1669019394
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Oghenerukevwe Odiete, MD Owner
Practice location
1825 Highway 34 E Ste 3400
Newnan, GA 30265-6423
Phone: (770) 500-9588
Mailing address
124 Morgan Dr
Lagrange, GA 30240-6361
Registry dates
- Enumerated
- 2019-12-02
- Last updated
- 2025-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.