| Grace Family Healthcare | |
|
102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 | |
| (912) 729-2955 | |
| (912) 882-4897 |
| Full Name | Grace Family Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 102 Lakeshore Dr Ste B, Saint Marys, Georgia |
| Authorized Official Name and Position | Angela Dawn Johnson (NURSE PRACTITIONER) |
| Authorized Official Contact | 9127292955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Healthcare 102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 Ph: () - | Grace Family Healthcare 102 Lakeshore Dr Ste B Saint Marys GA 31558-3875 Ph: (912) 729-2955 |
| NPI Number | 1467017491 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467017491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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