NPI 1003628199

Maddison Champ

Practitioner Personal Care Attendant Petersburg, WV

Practice location

Address: 111 Virginia Ave, Petersburg, WV 26847-1713
Phone: (304) 257-1666

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1003628199
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jan 2025
Record last updated: 24 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.