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1073202115
BY HIS GRACE PRIMARY CARE, LLC
ENTERPRISE, AL
NPI
1073202115
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Entity Type
Organization
Authorized Contact
SAMANTHA PICKETT
C RN O, CEO
334-806-9233
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-05-04
Last Update Date
2023-05-04
Business Address
BY HIS GRACE PRIMARY CARE, LLC
806 GLOVER AVE STE A
ENTERPRISE, AL 36330-2018
Phone number: 334-475-2680
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Mailing Address
BY HIS GRACE PRIMARY CARE, LLC
806 GLOVER AVE STE A
ENTERPRISE, AL 36330-2018
Phone number: 334-475-2680
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