| NPI | 1427715762 |
|---|---|
| Doing Business As | GRACE FAMILY MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | WENDY GRESSETT Nurse Practitioner 601-481-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |