Grace Medical Practice Llc

LBN: Grace Medical Practice Llc
Grace Medical Practice Llc is an health care organization with primary practice located at 3885 Princeton Lakes Way Sw Suite 402, Atlanta GA 30331-5589. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Grace Medical Practice Llc can be contacted via phone (404) 349-0496, or through Osinubi, Fidelia via phone (404) 861-0291.

Contact Information

Primary practice address
3885 Princeton Lakes Way Sw Suite 402 Atlanta GA 30331-5589
Phone: (404) 349-0496
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Osinubi, Fidelia
Phone: (404) 861-0291

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X GA061309 Georgia

Profile Details

NPI number 1407186877
LBN Legal business name Grace Medical Practice Llc
DBA Doing business as
Authorized official Osinubi, Fidelia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2010
Last updated Jan 7th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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