Individual
DR. MACIE LYNN CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1718 E 4TH ST, CHARLOTTE, NC 28204-3261
(205) 907-4358
Mailing address
1718 E 4TH ST STE 404, CHARLOTTE, NC 28204-3193
(704) 384-5701
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2024-02331
NC
207VM0101X
Maternal & Fetal Medicine Physician
Primary
2024-02331
NC
207VM0101X
Maternal & Fetal Medicine Physician
37649
AL
207VX0000X
Obstetrics Physician
MD.37649
AL
Other
Enumeration date
04/11/2017
Last updated
02/13/2025
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