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