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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
208000000X
Pediatrics Physician

Other

Enumeration date
08/07/2024
Last updated
08/07/2024
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