Organization
GRACE PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDY NICOLE GHEESLING MD (PRESIDENT)
(706) 426-7706
Entity
Organization
Contact information
Practice address
807A OAKHURST DR, EVANS, GA 30809-3696
(706) 426-7706
(706) 426-7728
Mailing address
807A OAKHURST DR, EVANS, GA 30809-3696
(706) 426-7706
(706) 426-7728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
060584
GA
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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