Individual
MRS. GRACE REAGAN GARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2605 BLUE RIDGE RD STE 225, RALEIGH, NC 27607-6459
(984) 222-8000
(984) 222-8001
Mailing address
6300 CANARY FALLS LN APT 306, RALEIGH, NC 27606-5855
(910) 990-0908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13705
NC
Other
Enumeration date
08/30/2023
Last updated
10/22/2023
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