Nicholas Church MD

NPI 1033317011 - Family Medicine - 207Q00000X

NPI Details
NPI 1033317011
Gender Male
Enumeration Date 07/11/2007
Last Updated 07/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2764 CANDLER RD
DECATUR GA, 30034-1410, US
Phone (404) 778-6902
Fax
Business Location
3A GLOUCESTER DRIVE
FINSBURY PARK LO, 42, GB
Phone 447725552130
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 059621
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According to our database, Dr. Nicholas Church MD NPI is 1033317011, taxonomy code is 207Q00000X and license number is 059621, license state is located at Georgia. Nicholas Church MD physically located at 2764 Candler Rd, Decatur GA, 30034-1410. NPI Number Nicholas Church MD has the Individual type.

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1033317011 NPI number is provided on an as is basis without warranty of any kind. 1033317011 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Church MD are for informational purposes only.