| NPI | 1124638614 |
|---|---|
| Doing Business As | D/B/A GRADY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN HARBIN Owner 229-378-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2021-09-02 |