Individual
DR. CARRIE LYN CHAMPINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2875 BARN RD, CHRISTIANSBURG, VA 24073-6389
(540) 731-4578
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 951-7427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102203413
VA
207V00000X
Obstetrics & Gynecology Physician
5101015707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922214527
—
VA
05
—
5201450
—
MI
Enumeration date
05/14/2007
Last updated
02/24/2024
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