By His Grace Primary Care, LLC
NPI #1073202115 in Enterprise, Alabama
Provider Information
- NPI Number
- 1073202115
- Entity Type
- Organization
- Organization Name
- By His Grace Primary Care, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 4, 2023
- Last Updated
- May 4, 2023
Practice Location
- Address
- 806 GLOVER AVE STE A
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-2018
- Phone
- (334) 475-2680
Authorized Official
- Name
- SAMANTHA PICKETT, CRNP
- Title
- CRNO, CEO
- Phone
- (334) 806-9233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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