Organization
GRACE MEDICAL CLINICS P.A.
Active
Other names
Grace Medical Clinics P.A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUFEMI A TOKUNBOH (ADMINISTRATOR)
(704) 933-2101
Entity
Organization
Contact information
Practice address
2317 CONCORD LAKE RD, CONCORD, NC 28025-2813
(704) 933-2101
(704) 933-1150
Mailing address
2317 CONCORD LAKE RD, CONCORD, NC 28025-2813
(704) 933-2101
(704) 933-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011GG
—
NC
Enumeration date
09/01/2006
Last updated
02/24/2026
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