Organization
GRANT WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE M RICE NP (NURSE PRACTITIONER)
(256) 728-7620
Entity
Organization
Contact information
Practice address
4630 MAIN ST, GRANT, AL 35747-8308
(256) 728-7620
Mailing address
4630 MAIN ST, GRANT, AL 35747-8308
(256) 728-7620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
03/08/2021
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