Organization · Type 2 NPI

Grace Ob/gyn LLC

Obstetrics Physician · Fairhope, AL

NPI number 1790052090 Active

Practice location

188 Hospital Dr, Suite 303
Fairhope, AL 36532-2043

Call (251) 990-1960 Map

Fax (251) 990-1964

Mailing address

PO Box 2492
Daphne, AL 36526-2492

Specialties and licenses

TaxonomyCodeLicense
Obstetrics Physician Primary 207VX0000X24538 (AL)

Obstetrics Physician: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

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About NPI 1790052090

Grace Ob/gyn LLC's National Provider Identifier is 1790052090, issued on Nov 30, 2011. The primary taxonomy on file is Obstetrics Physician (207VX0000X), and the practice location is in Fairhope, AL. The record was last updated on Jan 10, 2012.