Individual
DAVID M GRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 LAKE CONCORD RD NE, CONCORD, NC 28025-2918
(704) 792-2672
Mailing address
225 BALDWIN AVE, CHARLOTTE, NC 28204-3109
(704) 376-1605
(704) 376-1605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002518L
PA
363AS0400X
Surgical Physician Assistant
Primary
0010-06205
NC
Other
Enumeration date
06/22/2005
Last updated
09/12/2024
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