Individual provider · Type 1 NPI

Grace Park

Medical Physician Assistant · Chapel Hill, NC

NPI number 1154710945 Active

Practice location

101 Manning Dr
Chapel Hill, NC 27514-4220

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1154710945

Grace Park's National Provider Identifier is 1154710945, issued on Jan 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chapel Hill, NC. The record was last updated on Jul 22, 2024.