Organization
GRACEWAY HEALTH CARE LLC
Active
Other names
Graceway Healthcare CHC
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE D BROWN (BILLING MANAGER)
(410) 870-9380
Entity
Organization
Contact information
Practice address
9211 STUART LN, CLINTON, MD 20735-2712
(301) 868-3600
Mailing address
10259 CABERY RD, ELLICOTT CITY, MD 21042-1605
(410) 870-9380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
11/21/2024
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