# GRACE CLINIC OF YADKIN VALLEY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tri-County Health Resource Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356852511
- **Authorized official:** BETTY WHITE TAYLOR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (336) 835-1467

## Contact information

- **Practice address:** 948 JOHNSON RIDGE RD, ELKIN, NC 28621-0948
- **Practice address phone:** (336) 835-1467
- **Practice address fax:** (336) 835-1469
- **Mailing address:** PO BOX 978, ELKIN, NC 28621-0978
- **Mailing address phone:** (336) 835-1467
- **Mailing address fax:** (336) 835-1469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 07/29/2024