Organization
GRACE MEDICAL AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY FRAGOSO (DIRECTOR)
(470) 885-8080
Entity
Organization
Contact information
Practice address
3772 SATELLITE BLVD STE 204, DULUTH, GA 30096-5681
(470) 885-8080
(470) 885-8088
Mailing address
3772 SATELLITE BLVD STE 204, DULUTH, GA 30096-5681
(470) 885-8080
(470) 885-8088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
09/06/2023
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