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His Grace Medical Llc
Primary Care Clinic/Center in Columbus, Ohio
NPI 1346420668

His Grace Medical Llc is a Primary Care Clinic/Center based in Columbus, OH and is specialized in Primary Care. His Grace Medical Llc practices in Columbus, OH. The NPI Number for His Grace Medical Llc is 1346420668 and holds a License No. 35084618 (Ohio).

The current practice location address for His Grace Medical Llc is 6055 Cleveland Ave, Columbus, OH and can be reached out via phone at 614-315-1836 and via fax at 888-491-4030.

Location: 6055 Cleveland Ave, Columbus, OH, 43231-2256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346420668
Provider Name
His Grace Medical Llc
Credential
Provider Entity Type
Organization
Address
6055 Cleveland Ave, Columbus, OH, 43231-2256
Phone Number
614-315-1836
Fax Number
888-491-4030
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2509020 05 OH
institution
Provider Business Practice Location Address Details
Address
6055 Cleveland Ave
City
Columbus
State
Ohio
Zip
43231-2256
Phone Number
614-315-1836
Fax Number
888-491-4030
person
Provider Business Mailing Address Details
Address
6055 Cleveland Ave
City
Columbus
State
Ohio
Zip
43231-2256
Phone Number
614-315-1836
Fax Number
888-491-4030
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
35084618 (Ohio)
Definition
Definition to come...
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