Church Family Medicine, PC
Organization Active NPI Family Medicine Physician · Supply, NC
NPI 1053628065 · NPPES record last updated Sep 13, 2010
Key facts
- NPI
- 1053628065
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 200701334 (NC)
- Legal business name
- CHURCH FAMILY MEDICINE, PC
- Practice address
- 20 Medical Campus Dr
Suite 203
Supply, NC 28462-4096 - Phone
- (910) 755-7181
- Fax
- (910) 755-7194
- NPI assigned
- Sep 13, 2010
- Organization subpart
- No
Authorized official
- Name
- Miss Lori A Church, MD
- Title
- Owner
- Phone
- (910) 755-7181
Practitioners 1
-
Jeffrey D Seder, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 200701334 | NC | Yes |
Addresses
Primary practice location
20 Medical Campus Dr
Suite 203
Supply, NC 28462-4096
Mailing address
20 Medical Campus Dr
Suite 203
Supply, NC 28462-4096
Phone (910) 755-7181
Other providers in Supply, NC
- Carolina Rehabilitation Inc
- Carolinas Ear Nose & Throat Center
- Cataract Consultants PA
- Cedar Tree Ministries, Inc
- Chicora Medical Group PA
- Sue A Clampitt
- Coastal Cancer Center LLC
- Coastal Carolinas Integrated Medicine PA
- Coastal Gastroenterology PLLC
- Coastal Haven Home
All providers in Supply, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.