Individual
SUPINDER CHANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 573-6320
(864) 208-0352
Mailing address
151 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4225
(864) 573-6320
(864) 208-0352
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
20433
SC
363L00000X
Nurse Practitioner
Primary
20433
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3212
—
SC
Enumeration date
10/22/2016
Last updated
04/19/2021
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