Organization
GRACE HEALTHCARE LLC
Active
Other names
Grace Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KACEY KNEECE REEP (PRESIDENT/ CEO)
(803) 271-6334
Entity
Organization
Contact information
Practice address
2562 KINARD ST, NEWBERRY, SC 29108-2910
(803) 321-2499
(803) 321-2585
Mailing address
PO BOX 476, NEWBERRY, SC 29108-0476
(803) 321-2499
(803) 321-2585
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M-33196
SC
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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