Grace Internal Medicine, LLC
NPI #1740990886 in Prattville, Alabama
Provider Information
- NPI Number
- 1740990886
- Entity Type
- Organization
- Organization Name
- Grace Internal Medicine, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 30, 2022
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 102 MEDICAL CENTER DR STE F
- City
- Prattville
- State
- Alabama
- ZIP Code
- 36066-7286
- Phone
- (334) 568-2335
Authorized Official
- Name
- DR. VANOSIA SHABLEE FAISON, MD
- Title
- CEO
- Phone
- (334) 568-2335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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