Individual
DR. FADY S GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-1091
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME170988
FL
207R00000X
Internal Medicine Physician
TL30226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302265
—
SC
Enumeration date
06/29/2007
Last updated
11/07/2025
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