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Organization
GRACE HEALTH AND WELLNESS FAMILY CLINIC
Active
Organization
GRACE HEALTH AND WELLNESS FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANIE M MCGUIRE NP (CRNP)
(256) 203-5713
Entity
Organization
Contact information
Practice address
443 PINE AVE SW, DECATUR, AL 35601-7631
(256) 203-5713
(256) 260-9544
Mailing address
PO BOX 5393, DECATUR, AL 35601-0393
(256) 203-5713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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