Organization
GRACE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA MATHEWS-BETTS MD (MD)
(803) 933-0288
Entity
Organization
Contact information
Practice address
3025 FARROW RD, COLUMBIA, SC 29203
(803) 933-0288
(803) 933-9920
Mailing address
3025 FARROW RD, COLUMBIA, SC 29203
(803) 933-0288
(803) 933-9920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
12184
SC
207R00000X
Internal Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
13924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3812
—
SC
Enumeration date
04/23/2007
Last updated
08/17/2023
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