Individual
DR. GRACE MCCALL AUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
307 41ST AVENUE PL NW, HICKORY, NC 28601-9028
(828) 304-4935
(828) 304-4936
Mailing address
307 41ST AVENUE PL NW, HICKORY, NC 28601-9028
(828) 304-4935
(828) 304-4936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12579
MT
207R00000X
Internal Medicine Physician
Primary
99-00415
NC
207RI0200X
Infectious Disease Physician
9900415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190G
BCBS OF NC
NC
05
—
790190G
—
NC
Enumeration date
07/07/2005
Last updated
03/10/2011
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