GRACE MEDICAL PRACTICE LLC NPI 1407186877

NPI Information

NPI: 1407186877
Provider Name: GRACE MEDICAL PRACTICE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3885 PRINCETON LAKES WAY SW
SUITE 402
ATLANTA, GA
ZIP 30331
Phone: (404) 349-0496
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GRACE MEDICAL PRACTICE LLC is a primary care clinic center in Atlanta, GA. GRACE MEDICAL PRACTICE LLC NPI is 1407186877. The provider is registered as an organization entity type.

The provider's business location address is:

3885 PRINCETON LAKES WAY SW
SUITE 402
ATLANTA, GA
ZIP 30331-589
Phone: (404) 349-0496

The provider's authorized official is Fidelia Osinubi .
The authorized official title is Physician and has the following contact phone number (404) 861-0291.

The enumeration date for this NPI number is 1/7/2010 and was last updated on 1/7/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	GA061309	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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