| His Grace Medical Llc | |
|
6055 Cleveland Ave Columbus OH 43231-2256 | |
| (614) 315-1836 | |
| (888) 491-4030 |
| Full Name | His Grace Medical Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6055 Cleveland Ave, Columbus, Ohio |
| Authorized Official Name and Position | Feyisayo Oluwatosin Tolani (RN/OFFICE MANAGER) |
| Authorized Official Contact | 6143151836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| His Grace Medical Llc 6055 Cleveland Ave Columbus OH 43231-2256 Ph: (614) 315-1836 | His Grace Medical Llc 6055 Cleveland Ave Columbus OH 43231-2256 Ph: (614) 315-1836 |
| NPI Number | 1346420668 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 01/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346420668 | NPI | - | NPPES |
| 2509020 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35084618 (Ohio) | Primary |
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