Organization
GRACEWAY HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (PRACTICE ADMINISTRATOR)
(410) 800-6251
Entity
Organization
Contact information
Practice address
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401-7122
(667) 300-8222
(667) 300-8222
Mailing address
10259 CABERY RD, ELLICOTT CITY, MD 21042-1605
(410) 870-9380
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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