Individual
SHERRY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1919 STATE ST, SUITE 324, NEW ALBANY, IN 47150-4929
(812) 945-7536
(812) 945-7542
Mailing address
1919 STATE ST, SUITE 324, NEW ALBANY, IN 47150-4929
(812) 945-7536
(812) 945-7542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA870
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000344887
ANTHEM
—
Enumeration date
10/14/2005
Last updated
06/03/2008
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