Provider Demographics
NPI:1972991313
Name:SPRINGER, ANGELA J (CPM, LM)
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:J
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-3409
Mailing Address - Country:US
Mailing Address - Phone:843-653-9024
Mailing Address - Fax:843-790-0590
Practice Address - Street 1:1013 ELM ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-3409
Practice Address - Country:US
Practice Address - Phone:843-653-9024
Practice Address - Fax:843-790-0590
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
SCLMW-0092176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife