Organization
GRACE PEDIATRIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIUS TOKUNBOH M.D. (MEDICAL DIRECTOR)
(709) 409-3000
Entity
Organization
Contact information
Practice address
2401 TUCKASEEGEE RD, CHARLOTTE, NC 28208-4058
(704) 409-3000
(704) 409-2382
Mailing address
2401 TUCKASEEGEE RD, CHARLOTTE, NC 28208-4058
(704) 409-3000
(704) 409-2382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9800405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891359N
—
NC
Enumeration date
01/04/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us