Individual
DR. SHERYL GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
180 THACKER RD, RURAL HALL, NC 27045-9629
(336) 391-6133
Mailing address
180 THACKER RD, RURAL HALL, NC 27045-9629
(336) 705-1763
(833) 377-0517
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497370894
—
NC
Enumeration date
06/26/2015
Last updated
11/24/2021
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