| NPI | 1568805307 |
|---|---|
| Doing Business As | GRACE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KACEY KNEECE REEP President/ CEO 803-271-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC M-33196) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |