NPI | 1871786673 |
---|---|
Doing Business As | GRACE WOMENS CLINIC |
Entity Type | Organization |
Authorized Contact | LYNDE KNOWLES-JONAS Physician 336-538-2014 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9800935) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2012-04-24 |