Organization
GRACEWAY HEALTH CARE LLC
Active
Other names
GRACEWAY HEALTH CARE AL LONG GREEN
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (BILLING MANAGER)
(410) 870-9380
Entity
Organization
Contact information
Practice address
115 E MELROSE AVE, BALTIMORE, MD 21212-2945
(410) 435-9073
Mailing address
10259 CABERY RD, ELLICOTT CITY, MD 21042-1605
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
11/21/2024
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