Individual
MICHELLE ROBIN CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1290 KOLB RD, SUMTER, SC 29154-7002
(803) 236-2793
Mailing address
1290 KOLB RD, SUMTER, SC 29154-7002
(803) 236-2793
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
I-10110
SC
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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