Individual
DR. RORY TYNAN GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-5050
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-5050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT205831
PA
207RG0100X
Gastroenterology Physician
Primary
2021-01504
NC
208M00000X
Hospitalist Physician
25MA10113900
NJ
Other
Enumeration date
04/28/2014
Last updated
06/29/2021
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