Organization · Type 2 NPI
Grace Internal Medicine, LLC
Medical Physician Assistant · Johnson City, TN
NPI number
1841741196
Active
Practice location
2514 Wesley St, Suite 102
Johnson City, TN 37601-1764
Fax (423) 282-2802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2497 (TN) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1841741196
Grace Internal Medicine, LLC's National Provider Identifier is 1841741196, issued on Oct 21, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Johnson City, TN. The record was last updated on Oct 21, 2016.