Organization
GRACES COMMUNITY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NDOFUNSU BADIKA MD (PRESIDENT)
(704) 394-3033
Entity
Organization
Contact information
Practice address
2905 FREEDOM DR, CHARLOTTE, NC 28208-3857
(704) 394-3033
Mailing address
2905 FREEDOM DR, CHARLOTTE, NC 28208-3857
(704) 394-3033
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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