Individual
GRACE BLANE MCMAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
972 MONTCLAIR RD STE 100, BIRMINGHAM, AL 35213-1203
(205) 592-4880
Mailing address
972 MONTCLAIR RD STE 100, BIRMINGHAM, AL 35213-1203
(205) 592-4880
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/08/2019
Last updated
08/10/2025
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