Organization
GRACE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMITH (CEO)
(678) 755-2554
Entity
Organization
Contact information
Practice address
5040 SNAPFINGER WOODS DR STE 204B, DECATUR, GA 30035-4020
(678) 755-2554
(470) 857-9833
Mailing address
5040 SNAPFINGER WOODS DR STE 204B, DECATUR, GA 30035-4020
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
09/05/2023
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