CLIFFORD E CHURCH

ALBANY, GA
NPI1598748204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: GA  029428)
Additional Taxonomies2085N0700X Radiology, Neuroradiology
(Licence: GA  031816)
2085N0904X Radiology, Nuclear Radiology
(Licence: GA  031816)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: GA  031816)
2085P0229X Radiology, Pediatric Radiology
(Licence: GA  031816)
Enumeration Date2005-11-28
Last Update Date2007-07-08
Business Address
-- CLIFFORD E CHURCH MD
417 W 3RD AVE
ALBANY, GA 31701-1943
Phone number: 706-653-1088
Mailing Address
-- CLIFFORD E CHURCH MD
PO BOX 1828
ALBANY, GA 31702-1828
Phone number: 706-653-1088