Organization
GRACE HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY C WHITENER FNP-C (OWNER)
(706) 455-1478
Entity
Organization
Contact information
Practice address
340 MAIN STREET, COPPERHILL, TN 37317-3731
(423) 548-1000
(423) 548-1002
Mailing address
PO BOX 1175, COPPERHILL, TN 37317-1175
(423) 548-1002
(423) 548-1002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2341
TN
261QP2300X
Primary Care Clinic/Center
Primary
24080
TN
Other
Enumeration date
04/25/2018
Last updated
11/30/2022
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