Mr. Thomas Gary Church
Nurse Practitioner
838 State Farm Rd. Ste. 2
Boone
, North Carolina 28607-5391
Mr. Thomas Gary Church
Nurse Practitioner
838 State Farm Rd. Ste. 2
Boone
, North Carolina 28607-5391
(828) 358-1317
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mr. Thomas Gary Church
- 838 State Farm Rd. Ste. 2
- Boone, NC
- Zip : 28607-5391
- Fax : (828) 358-1317
- Phone : (828) 386-1001
Second Address
- Mr. Thomas Gary Church
- 838 State Farm Rd. Ste. 2
- Boone, NC
- Zip : 28607-5391
- Fax : (828) 358-1317
- Phone : (828) 386-1001
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 184774 | NC |
National Provider Identifier
| NPI | 1003041534 |
|---|---|
| Provider Name | Mr. Thomas Gary Church |
| First Address | Boone, NC 28607-5391 |
| Second Address | Boone, NC 28607-5391 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/05/2009 |
| Last Update Date | 04/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.