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Organization

MLP CHURCH MD FAMILY PRACTICE, INC.

Active
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Organization

MLP CHURCH MD FAMILY PRACTICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY LOUISE PARKER CHURCH MD (PRESIDENT / OWNER)
(336) 667-6363
Entity
Organization

Contact information

Practice address
1707 INDUSTRIAL DR, WILKESBORO, NC 28697-7345
(336) 667-6363
(336) 667-8066
Mailing address
1707 INDUSTRIAL DR, WILKESBORO, NC 28697-7345
(336) 667-6363
(336) 667-8066

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
12/07/2009
Last updated
12/07/2009
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