| Grace Mountain Medical, Llc | |
|
115 Lee Ave Ste 101 Pikeville KY 41501-2047 | |
| (606) 727-5296 | |
| Not Available |
| Full Name | Grace Mountain Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Lee Ave Ste 101, Pikeville, Kentucky |
| Authorized Official Name and Position | Tonya Renee Shepherd Hatfield (CO-OWNER) |
| Authorized Official Contact | 6062268677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Mountain Medical, Llc 1235 Saltlick Rd Hueysville KY 41640-6653 Ph: (606) 226-8677 | Grace Mountain Medical, Llc 115 Lee Ave Ste 101 Pikeville KY 41501-2047 Ph: (606) 727-5296 |
| NPI Number | 1821645896 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821645896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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