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Grace Park, MD
Pediatrics Physician in Winston Salem, North Carolina
NPI 1407410004

Grace Park is a Pediatrics Physician based in Winston Salem, NC. Grace Park practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Grace Park is 1407410004 and holds a License No. (North Carolina).

The current practice location address for Grace Park is 2808 Maplewood Ave, Winston Salem, NC and can be reached out via phone at 336-765-9000 and via fax at 336-765-5702.

Location: 2808 Maplewood Ave, Winston Salem, NC, 27103-4138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407410004
Provider Name
Grace Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2808 Maplewood Ave, Winston Salem, NC, 27103-4138
Phone Number
336-765-9000
Fax Number
336-765-5702
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2808 Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-765-9000
Fax Number
336-765-5702
person
Provider Business Mailing Address Details
Address
2808 Maplewood Ave
City
Winston Salem
State
North Carolina
Zip
27103-4138
Phone Number
336-765-9000
Fax Number
336-765-5702
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
202200704 (North Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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