Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Church Family Medicine, PC

Organization Family Medicine Physician · NPI 1053628065

Church Family Medicine, PC is a Family Medicine Physician in Supply, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Medical Campus Dr Ste 203
Supply, NC 28462-4096
Phone: (910) 755-7181
Fax: (910) 755-7194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 200701334 (NC)

Record details

NPI number1053628065
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Church — Owner · (910) 755-7181
NPI enumeratedSeptember 13, 2010
Last updated in NPPESSeptember 13, 2010
Mailing address20 Medical Campus Dr, Suite 203, Supply, NC 28462-4096

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