GRACE MEDICAL PRACTICE LTD

EAST POINT, GA
NPI1396070744
Entity TypeOrganization
Authorized ContactFIDELIA O OSINUBI
CEO
404-861-0291
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  001305)
Enumeration Date2009-10-02
Last Update Date2009-10-02
Business Address
GRACE MEDICAL PRACTICE LTD
1136 CLEVELAND AVE STE 309
EAST POINT, GA 30344-3618
Phone number: 404-763-1240
Mailing Address
GRACE MEDICAL PRACTICE LTD
PO BOX 20156
ATLANTA, GA 30325-0156
Phone number: 404-861-0291