Most Relevant Information
Provider Data
| NPI Number: | 1003041534 |
| Provider Name: | THOMAS GARY CHURCH FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 184774 |
Most Important Dates
| Enumeration Date: | 05/28/2009 |
| Last Updated: | 11/04/2013 |
Provider Practice Location
838 STATE FARM RD.
STE. 2
BOONE
NC
286075391
Practice Location Phone/Fax
| Phone: | 8283861001 |
| Fax: | 8283581317 |
Provider Mailing Location
838 STATE FARM RD.
STE. 2
BOONE
NC
286075391
Provider Mailing Phone/Fax
| Phone: | 8283861001 |
| Fax: | 8283581317 |