Organization · Type 2 NPI

Grace Klinic, LLC

Medical Physician Assistant · Raleigh, NC

NPI number 1164969168 Active

Practice location

6516 Falls Of Neuse Rd, 110
Raleigh, NC 27615-6847

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1164969168

Grace Klinic, LLC's National Provider Identifier is 1164969168, issued on Jan 27, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jan 27, 2017.