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Organization
BY HIS GRACE PRIMARY CARE, LLC
Active
Organization
BY HIS GRACE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA ELIZABETH PICKETT (CRNP/OWNER)
(334) 475-2680
Entity
Organization
Contact information
Practice address
635 N MAIN ST STE A, ENTERPRISE, AL 36330-1748
(334) 475-2680
(855) 583-3701
Mailing address
635 N MAIN ST STE 3, ENTERPRISE, AL 36330-1748
(334) 475-2680
(855) 583-3701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
07/28/2026
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