SAMUEL LEROY CHURCH

HIAWASSEE, GA
NPI1053398149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  048990)
Enumeration Date2005-12-29
Last Update Date2014-03-05
Business Address
Dr. SAMUEL LEROY CHURCH MD
85 SEASONS LANE
HIAWASSEE, GA 30546-3217
Phone number: 706-896-0505
Mailing Address
Dr. SAMUEL LEROY CHURCH MD
PO BOX 1217
HIAWASSEE, GA 30546-1217
Phone number: 706-896-0505