| Grace Medical Group, Llc | |
|
3025 Farrow Rd Columbia SC 29203 | |
| (803) 933-0288 | |
| (803) 933-9920 |
| Full Name | Grace Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3025 Farrow Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Cynthia Mathews-betts (MD) |
| Authorized Official Contact | 8039330288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Group, Llc 3025 Farrow Rd Columbia SC 29203 Ph: (803) 933-0288 | Grace Medical Group, Llc 3025 Farrow Rd Columbia SC 29203 Ph: (803) 933-0288 |
| NPI Number | 1346468204 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 0345149894 |
|---|---|
| Medicare Enrollment ID | O20040105000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346468204 | NPI | - | NPPES |
| GP3812 | Medicaid | SC |
| Provider Name | Michelle A Rojas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205806718 PECOS PAC ID: 9234038787 Enrollment ID: I20040107000376 |
| Provider Name | Cynthia L Matthews-betts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588750103 PECOS PAC ID: 7416856968 Enrollment ID: I20040114000662 |
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