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GRACE CIRCLE LLC NPI 1750153987


NPI Information

NPI: 1750153987
Provider Name: GRACE CIRCLE, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4209 CARMICHAEL RD
MONTGOMERY, AL
ZIP 36106
Phone: (334) 356-1020
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GRACE CIRCLE, LLC is a pediatrics in Montgomery, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. GRACE CIRCLE, LLC NPI is 1750153987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4209 CARMICHAEL RD
MONTGOMERY, AL
ZIP 36106-601
Phone: (334) 356-1020
Fax: (334) 356-2177

The provider's authorized official is Jessica R Gibson .
The authorized official title is Occupational Therapist and has the following contact phone number (334) 590-0164.

The enumeration date for this NPI number is 10/23/2023 and was last updated on 4/15/2024.


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
1208000000XPediatricsYes
2224Z00000XOccupational Therapy AssistantNo
32251P0200XPhysical TherapistPediatricsNo
4225200000XPhysical Therapy AssistantNo
5225XP0200XOccupational TherapistPediatricsNo
6235Z00000XSpeech-Language PathologistNo

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

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