| Grace Family Health Pllc | |
|
2900 Kirby Rd Ste 14 Memphis TN 38119-8207 | |
| (901) 289-3684 | |
| (901) 754-3333 |
| Full Name | Grace Family Health Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 Kirby Rd Ste 14, Memphis, Tennessee |
| Authorized Official Name and Position | Racquel D Spencer (OWNER) |
| Authorized Official Contact | 9012893684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Health Pllc 2900 Kirby Rd Ste 14 Memphis TN 38119-8207 Ph: (901) 289-3684 | Grace Family Health Pllc 2900 Kirby Rd Ste 14 Memphis TN 38119-8207 Ph: (901) 289-3684 |
| NPI Number | 1144938390 |
|---|---|
| Provider Enumeration Date | 11/07/2022 |
| Last Update Date | 11/23/2022 |
| Medicare PECOS PAC ID | 6204206329 |
|---|---|
| Medicare Enrollment ID | O20230106001598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144938390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Racquel D Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841589900 PECOS PAC ID: 2961640503 Enrollment ID: I20141022001273 |
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