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Grace Family Medicine Plc
Primary Care Clinic/Center in Forest, Virginia
NPI 1285944983

Grace Family Medicine Plc is a Primary Care Clinic/Center based in Forest, VA and is specialized in Primary Care. Grace Family Medicine Plc practices in Forest, VA. The NPI Number for Grace Family Medicine Plc is 1285944983 and holds a License No. 0101054652 (Virginia).

The current practice location address for Grace Family Medicine Plc is 15421 Forest Rd Ste B, Forest, VA and can be reached out via phone at 434-525-4722.

Location: 15421 Forest Rd Ste B, Forest, VA, 24551-2274
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285944983
Provider Name
Grace Family Medicine Plc
Credential
Provider Entity Type
Organization
Address
15421 Forest Rd Ste B, Forest, VA, 24551-2274
Phone Number
434-525-4722
Fax Number
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013905785 01 VA NPI
institution
Provider Business Practice Location Address Details
Address
15421 Forest Rd Ste B
City
Forest
State
Virginia
Zip
24551-2274
Phone Number
434-525-4722
Fax Number
person
Provider Business Mailing Address Details
Address
15421 Forest Rd Ste B
City
Forest
State
Virginia
Zip
24551-2274
Phone Number
434-525-4722
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
0101054652 (Virginia)
Definition
Definition to come...
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