Individual
DR. NICHOLAS CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 N DECATUR RD, SUITE 295, DECATUR, GA 30033-5949
(404) 778-6400
(404) 778-6426
Mailing address
2801 N DECATUR RD, SUITE 295, DECATUR, GA 30033-5949
(404) 778-6400
(404) 778-6426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059621
GA
Other
Enumeration date
07/11/2007
Last updated
10/09/2015
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