GRACE FAMILY PRACTICE CLINIC, P.C.

DYERSBURG, TN
NPI1083124671
Entity TypeOrganization
Authorized ContactMONIQUE CASEY-BOLDEN
President
731-288-0911
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  MD35727)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TN  MD25289)
363LF0000X Nurse Practitioner, Family
(Licence: TN  APN13637)
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
GRACE FAMILY PRACTICE CLINIC, P.C.
1716 PARR AVE STE D
DYERSBURG, TN 38024-2074
Phone number: 731-288-0911
Mailing Address
GRACE FAMILY PRACTICE CLINIC, P.C.
1716 PARR AVE STE D
DYERSBURG, TN 38024-2074
Phone number: 731-288-0911
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