institution
Southern Grace Medical Care, Llc
Primary Care Clinic/Center in Huntsville, Alabama
NPI 1649890211

Southern Grace Medical Care, Llc is a Primary Care Clinic/Center based in Brownsboro, AL and is specialized in Primary Care. Southern Grace Medical Care, Llc practices in Huntsville, AL. The NPI Number for Southern Grace Medical Care, Llc is 1649890211 and holds a License No. (Alabama).

The current practice location address for Southern Grace Medical Care, Llc is 500 Governors Dr Sw, Huntsville, AL and can be reached out via phone at 256-797-4118. You can also correspond with Southern Grace Medical Care, Llc through the mailing address at 1606 MOONTOWN RD, BROWNSBORO, AL - 35741-9493 (mailing address contact number: 256-776-3850).

Location: 500 Governors Dr Sw, Huntsville, AL, 35741-9493
institution
Provider Profile Details
NPI Number
1649890211
Provider Name
Southern Grace Medical Care, Llc
Credential
Provider Entity Type
Organization
Address
500 Governors Dr Sw, Huntsville, AL, 35741-9493
Phone Number
256-797-4118
Fax Number
Provider Enumeration Date
04/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23529 01 AL ALABAMA BOARD OF MEDICAL EXAMINERS
8499 01 AL ALABAMA BOARD OF NURSING, RX NUMBER
1-159682 01 AL ALABAMA BOARD OF NURSING, RN LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
500 Governors Dr Sw
City
State
Zip
35801-5126
Phone Number
256-797-4118
Fax Number
person
Provider Business Mailing Address Details
Address
1606 Moontown Rd
City
State
Zip
35741-9493
Phone Number
256-776-3850
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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