| Grace Family Medical Center | |
|
3849 North Blvd Suite 100 Baton Rouge LA 70806-3854 | |
| (225) 381-6765 | |
| (225) 381-6767 |
| Full Name | Grace Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 3849 North Blvd, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Alencia Clayton Ellis (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 2253816765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Medical Center 24438 Plank Rd Slaughter LA 70777-9701 Ph: (225) 381-6765 | Grace Family Medical Center 3849 North Blvd Suite 100 Baton Rouge LA 70806-3854 Ph: (225) 381-6765 |
| NPI Number | 1598896961 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598896961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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