Individual
TERENCE L CHAMPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
955 CAROLYN LANE, CONWAY, AR 72034-5015
(501) 327-2444
(501) 327-2443
Mailing address
955 CAROLYN LANE, CONWAY, AR 72034-5015
(501) 327-2444
(501) 327-2443
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C7675
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121809001
—
AR
01
—
5K536
BCBS
AR
Enumeration date
01/05/2006
Last updated
10/23/2024
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