Organization
GRACE FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UZOMA OBUEKWE MD (MEDICAL DIRECTOR / OWNER)
(276) 494-5225
Entity
Organization
Contact information
Practice address
300 MOORE ST, SUITE A, BRISTOL, VA 24201-4495
(276) 644-4433
(276) 644-4434
Mailing address
200 HARVEST RD, BRISTOL, VA 24201-5109
(276) 494-5225
(276) 644-4434
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101244053
VA
Other
Enumeration date
05/23/2013
Last updated
09/04/2013
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