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1053398149
SAMUEL LEROY CHURCH
HIAWASSEE, GA
NPI
1053398149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 048990)
Enumeration Date
2005-12-29
Last Update Date
2014-03-05
Business Address
Dr. SAMUEL LEROY CHURCH MD
85 SEASONS LANE
HIAWASSEE, GA 30546-3217
Phone number: 706-896-0505
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Mailing Address
Dr. SAMUEL LEROY CHURCH MD
PO BOX 1217
HIAWASSEE, GA 30546-1217
Phone number: 706-896-0505
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