GRACE ILEX THOMPSON-BYRUM

GASTONIA, NC
NPI1164151288
Former NameGRACE THOMPSON BYRUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12338)
Enumeration Date2022-06-06
Last Update Date2022-09-29
Business Address
GRACE ILEX THOMPSON-BYRUM PA-C
1530 UNION RD STE A
GASTONIA, NC 28054-2201
Phone number: 704-867-6188
Mailing Address
GRACE ILEX THOMPSON-BYRUM PA-C
1530 UNION RD STE A
GASTONIA, NC 28054-2201
Phone number: 704-867-6188