Organization
MEDICINE WITH MERCY AND GRACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JEAN LOVE M.D. (PRESIDENT)
(980) 295-9862
Entity
Organization
Contact information
Practice address
210 W DALE ST, SHELBY, NC 28150
(980) 295-9862
(704) 466-3494
Mailing address
201 S WASHINGTON ST APT 401, SHELBY, NC 28150-2617
(980) 295-9862
(704) 406-9897
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
200000527
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126G9
—
NC
Enumeration date
03/29/2017
Last updated
02/20/2021
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