Thomas Gary Church FNP

NPI 1003041534 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003041534
Gender Male
Enumeration Date 05/28/2009
Last Updated 11/04/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
838 STATE FARM RD.
STE. 2
BOONE NC, 28607-5391, US
Phone (828) 386-1001
Fax (828) 358-1317
Business Location
838 STATE FARM RD.
STE. 2
BOONE NC, 28607-5391, US
Phone (828) 386-1001
Fax (828) 358-1317
Toxanomy
Taxonomy Code 363L00000X
License State North Carolina
License Number 184774
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According to our database, Mr. Thomas Gary Church FNP NPI is 1003041534, taxonomy code is 363L00000X and license number is 184774, license state is located at North Carolina. Thomas Gary Church FNP physically located at 838 State Farm Rd., Boone NC, 28607-5391. NPI Number Thomas Gary Church FNP has the Individual type.

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1003041534 NPI number is provided on an as is basis without warranty of any kind. 1003041534 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Gary Church FNP are for informational purposes only.