JOSEPH ALBERT CHURCH III

Dr JOSEPH ALBERT CHURCH III is a male medical professional, specializing in Occupational Therapy. He graduated in 1990 from Louisiana State University School Of Medicine In New Orleans.

Contact

1105 39TH AVE
GULFPORT
MS
395012654

Tel:

JOSEPH ALBERT CHURCH III Information

Npi 1265470744
Pac Id 9739191883
Professional Enrollment Id I20060608000217
Last Name CHURCH
First Name JOSEPH
Middle Name ALBERT
Suffix III
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1990
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
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Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1105 39TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GULFPORT
State MS
Zip Code 395012654
Phone Number
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Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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