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Organization
GRACE OB/GYN LLC
Active
Organization
GRACE OB/GYN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M GRACE MD (PRESIDENT)
(251) 990-1960
Entity
Organization
Contact information
Practice address
188 HOSPITAL DR, SUITE 303, FAIRHOPE, AL 36532-2043
(251) 990-1960
(251) 990-1964
Mailing address
PO BOX 2492, DAPHNE, AL 36526-2492
(251) 990-1960
(251) 990-1964
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
24538
AL
Other
Enumeration date
11/30/2011
Last updated
01/10/2012
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