Organization
GRACE HEALTHCARE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA M TREADAWAY PAC (PAC/OWNER)
(865) 761-0103
Entity
Organization
Contact information
Practice address
1721 MAIN ST, WHITE PINE, TN 37890-3303
(865) 761-0103
(865) 761-0272
Mailing address
PO BOX 74, WHITE PINE, TN 37890-0074
(865) 761-0103
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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