| NPI | 1609978824 |
|---|---|
| Former Legal Business Name | GRACE MEDICAL CLINICS P.A |
| Entity Type | Organization |
| Authorized Contact | OLUFEMI A TOKUNBOH Administrator 704-933-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-02-26 |