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Organization

BY GRACE MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA DUKES (OWNER)
(443) 694-8208
Entity
Organization

Contact information

Practice address
1001-1003 E PATAPSCO AVE, BALTIMORE, MD 21225
(443) 694-8208
Mailing address
1001-1003 E PATAPSCO AVE, BALTIMORE, MD 21225
(443) 694-8208

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
251B00000X
Case Management Agency
261QP2300X
Primary Care Clinic/Center
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
04/06/2021
Last updated
04/06/2021
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