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Contact Information

JESSICA CHAMPAGNE
955 RIBAUT RD
BEAUFORT, SC29902-5441
 Phone: 843-522-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Technologist

246QM0706X
Indicates primary specialty

NPI Profile & details for JESSICA CHAMPAGNE · (Female)

NPI Number 1306643945
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2025
Last updated 03/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • SC License # 285899
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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