GRACE INTERNAL MEDICINE, LLC

PRATTVILLE, AL
NPI1740990886
Entity TypeOrganization
Authorized ContactVANOSIA SHABLEE FAISON
CEO
334-568-2335
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2022-11-30
Last Update Date2023-06-12
Business Address
GRACE INTERNAL MEDICINE, LLC
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL 36066-7286
Phone number: 334-568-2335
Mailing Address
GRACE INTERNAL MEDICINE, LLC
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL 36066-7286
Phone number: 334-568-2335