LARENZO A CHAMPAGNE

CHARLESTON, SC
NPI1619791159
Other NameLARENZO ANTONIO CHAMPAGNE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  29350)
Enumeration Date2024-11-12
Last Update Date2024-11-26
Business Address
LARENZO A CHAMPAGNE FNP-BC
9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406-9104
Phone number: 843-876-7080
Mailing Address
LARENZO A CHAMPAGNE FNP-BC
314 WOODGATE WAY
SUMMERVILLE, SC 29485-7481
Phone number: 843-860-9127
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