| NPI | 1932708617 |
|---|---|
| Doing Business As | GRACELAND FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN FICKLING Provider 850-741-2878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |