NPI | 1851831630 |
---|---|
Doing Business As | AMAZING GRACE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT B BARBER Owner 317-735-1727 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2017-02-28 |
Last Update Date | 2017-02-28 |