Champion, Angela

Champion, Angela is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Champion, Angela can be contacted via phone (864) 560-1576.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-1576
Fax: (864) 560-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5006837 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 20267 South Carolina

Profile Details

NPI number 1598006512
LBN Legal business name Champion, Angela
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2013
Last updated Dec 10th, 2020 - about 6 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 1598006512 NPPES
South Carolina MEDICAID NP3948

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