| Grace Medical Clinics P.a. | |
|
2317 Concord Lake Rd Concord NC 28025-2813 | |
| (704) 933-2101 | |
| (704) 933-1150 |
| Full Name | Grace Medical Clinics P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2317 Concord Lake Rd, Concord, North Carolina |
| Authorized Official Name and Position | Olufemi A Tokunboh (ADMINISTRATOR) |
| Authorized Official Contact | 7049332101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Clinics P.a. 2317 Concord Lake Rd Concord NC 28025-2813 Ph: (704) 933-2101 | Grace Medical Clinics P.a. 2317 Concord Lake Rd Concord NC 28025-2813 Ph: (704) 933-2101 |
| NPI Number | 1609978824 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 02/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609978824 | NPI | - | NPPES |
| 89011GG | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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