GRACE PEDIATRIC CLINIC, P.A.

CHARLOTTE, NC
NPI1447307384
Entity TypeOrganization
Authorized ContactJULIUS TOKUNBOH
Medical Director
709-409-3000
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NC  9800405)
Enumeration Date2007-01-04
Last Update Date2020-08-22
Business Address
GRACE PEDIATRIC CLINIC, P.A.
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208-4058
Phone number: 704-409-3000
Mailing Address
GRACE PEDIATRIC CLINIC, P.A.
2401 TUCKASEEGEE RD
CHARLOTTE, NC 28208-4058
Phone number: 704-409-3000