Organization
GRACE MEDICAL CLINICS, PA
Active
Other names
Pinnacle Mecial Clinis, PA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FEMI TOKUNBOH (ADMINISTRATOR)
(704) 409-3000
Entity
Organization
Contact information
Practice address
2401 TUCKASEEGEE RD, CHARLOTTE, NC 28208-4058
(704) 409-3000
(704) 409-2382
Mailing address
2401 TUCKASEEGEE RD, CHARLOTTE, NC 28208-4058
(704) 409-3000
(704) 409-2382
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
9800405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016R2
—
NC
Enumeration date
04/21/2006
Last updated
08/22/2020
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