Organization · Type 2 NPI
Grace Healthcare Group PLLC
Medical Physician Assistant · White Pine, TN
NPI number
1245863901
Active
Practice location
1721 Main St
White Pine, TN 37890-3303
Fax (865) 761-0272
Mailing address
PO Box 74
White Pine, TN 37890-0074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1245863901
Grace Healthcare Group PLLC's National Provider Identifier is 1245863901, issued on Feb 20, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in White Pine, TN. The record was last updated on Feb 20, 2020.