Individual
THOMAS CARTON CHURCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 YACHT CLUB DR NE, FT WALTON BEACH, FL 32547-4473
(850) 244-1157
Mailing address
51 YACHT CLUB DR NE, FT WALTON BEACH, FL 32548-4473
(850) 244-1157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0016848
FL
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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