Individual
DR. NEENA LORENZANA CHAMPAIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-2315
(843) 792-1414
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 941-8100
(864) 941-8114
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
30542
SC
208000000X
Pediatrics Physician
30542
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305422
—
SC
Enumeration date
05/15/2006
Last updated
11/30/2020
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