| NPI | 1043254360 |
|---|---|
| Doing Business As | GRACE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARK PICKETT VP 478-405-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-08-29 |