Organization Name: | SAMUEL L. CHURCH, MD, PC |
NPI Number: | 1023153244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL L CHURCH (OWNER) |
Mailing Address: | 85 Seasons Lane Hiawassee |
State: | GA US |
Postal Code: | 30546 |
Phone Number: | 7068960505 |
Fax Number: | 8667962502 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 305R00000X |
License Number: | 048990 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Preferred Provider Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |