Samuel Leroy Church MD

NPI 1053398149 - Family Medicine - 207Q00000X

NPI Details
NPI 1053398149
Gender Male
Enumeration Date 12/29/2005
Last Updated 03/05/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
HIAWASSEE GA, 30546-3217, US
Phone (706) 896-0505
Fax (866) 796-2502
Business Location
PO BOX 1217
HIAWASSEE GA, 30546-1217, US
Phone (706) 896-0505
Fax (866) 796-2502
Taxonomy Code 207Q00000X
License State Georgia
License Number 048990
Remove 1053398149 NPI Number

According to our database, Dr. Samuel Leroy Church MD NPI is 1053398149, taxonomy code is 207Q00000X and license number is 048990, license state is located at Georgia. Samuel Leroy Church MD physically located at 85 Seasons Lane, Hiawassee GA, 30546-3217. NPI Number Samuel Leroy Church MD has the Individual type.

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1053398149 NPI number is provided on an as is basis without warranty of any kind. 1053398149 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Leroy Church MD are for informational purposes only.