Organization · Type 2 NPI
Grace Family Medicine Clinic
Primary Care Clinic/Center · Bristol, VA
NPI number
1407293954
Active
Practice location
300 Moore St, Suite A
Bristol, VA 24201-4495
Fax (276) 644-4434
Mailing address
200 Harvest Rd
Bristol, VA 24201-5109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0101244053 (VA) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Bristol
About NPI 1407293954
Grace Family Medicine Clinic's National Provider Identifier is 1407293954, issued on May 23, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Bristol, VA. The record was last updated on Sep 4, 2013.