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Jason Andrew Champ, PA

Physician Assistant in Anderson, SC. Individual provider (NPI-1).

NPI number1134814361
StatusActive
Last updated in NPPESSep 18, 2023

Details

NPI
1134814361
Entity type
Individual (NPI-1)
Name
Jason Andrew Champ
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 5, 2023
Certification date
Sep 18, 2023
Last updated
Sep 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant4878SCYes

Practice location

8 Justice Ln
Anderson, SC 29621-2354

Phone 864-260-9910 · Fax 864-260-0209

Mailing address

300 E McBee Ave Fl 4
Greenville, SC 29601-2842

Phone 864-522-8603

Other practice locations

2755 S Highway 14 Ste 1200l
Greer, SC 29650-4902

Phone 864-849-9150 · Fax 864-849-9394

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