Individual
ANGELA CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20267
SC
363LA2200X
Adult Health Nurse Practitioner
5006837
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3948
—
SC
Enumeration date
03/15/2013
Last updated
12/10/2020
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