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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE FAMILY PRACTICE CLINIC, P.C.

Active Organization

GRACE FAMILY PRACTICE CLINIC, P.C. is a Family Medicine organization located in DYERSBURG, Tennessee. NPI 1083124671 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · DYERSBURG, TN

Registration Details

NPI Number
1083124671
Provider Type
Organization
NPI Issued
Oct 9, 2017 (8.8602927327542 yrs)
Last Updated
Oct 9, 2017
Licenses
MD25289 (TN)
APN13637 (TN)
MD35727 (TN)

Practice Information

Address
1716 PARR AVE STE D
DYERSBURG, TN, 380242074
Browse TN providers · Browse ZIP 38024
Phone
7312880911
Fax
7312880065
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Family Medicine

Other Family Medicine Organizations in DYERSBURG, TN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.