Champ, Jerry D

Champ, Jerry D is an individual health care provider with primary practice located at 100 Healthy Way Ste 1250 , Anderson SC 29621-7917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Champ, Jerry D can be contacted via phone (864) 512-6927.

Contact Information

Primary practice address

100 Healthy Way Ste 1250 Anderson SC 29621-7917

Phone: (864) 512-6927

Fax: (864) 512-6687

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Cardiovascular Disease	207RC0000X	19168	South Carolina

Profile Details

NPI number	1881670941
LBN Legal business name	Champ, Jerry D
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 21st, 2005
Last updated	Nov 28th, 2022 - about 3 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1881670941	NPPES
South Carolina	MEDICAID	191688
South Carolina	Other	P00970760

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