Organization · Type 2 NPI
By Grace Medical Group, LLC
General Practice Physician · Baltimore, MD
NPI number
1679152763
Active
Practice location
1001-1003 E Patapsco Ave
Baltimore, MD 21225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1679152763
By Grace Medical Group, LLC's National Provider Identifier is 1679152763, issued on Apr 6, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Baltimore, MD. The record was last updated on Apr 6, 2021.