Individual
DR. MEDHAT N. GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 FAIRWAY ST, BOWLING GREEN, KY 42103-2477
(270) 781-3910
(270) 842-7177
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 780-2497
(270) 783-0454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33548
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64353485
—
KY
Enumeration date
09/09/2005
Last updated
06/17/2015
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