Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champ Vascular, LLC

Organization Interventional Cardiology Physician · NPI 1669019394

Champ Vascular, LLC is an Interventional Cardiology Physician in Newnan, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1825 Highway 34 E Ste 3400
Newnan, GA 30265-6423
Phone: (770) 500-9588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X

Record details

NPI number1669019394
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Oghenerukevwe Odiete — Md Owner · (770) 400-9588
Other names Peachstate Advanced Cardiac And Endovascular Llc
NPI enumeratedDecember 2, 2019
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address124 Morgan Dr, Lagrange, GA 30240-6361

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