| NPI | 1083415319 |
|---|---|
| Doing Business As | GRACE PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PUSHKAS GOPALAN President 423-439-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-09-08 |