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1730739459
KYLE THOMAS CHURCH
ATLANTA, GA
NPI
1730739459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 9363)
Enumeration Date
2019-09-14
Last Update Date
2020-01-20
Business Address
KYLE THOMAS CHURCH PA-C
95 COLLIER RD NW STE 2055
ATLANTA, GA 30309-1721
Phone number: 404-605-5699
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Mailing Address
KYLE THOMAS CHURCH PA-C
264 LAKE CONNIE RD
CARROLLTON, GA 30116-5245
Phone number: 404-596-1641
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