Organization
GRACE WOMENS CLINIC PA
Active
Other names
GRACE WOMENS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDE KNOWLES-JONAS MD (PHYSICIAN)
(336) 538-2014
Entity
Organization
Contact information
Practice address
2280 S CHURCH ST STE 201, SUITE 201, BURLINGTON, NC 27215-5397
(336) 538-2014
(336) 538-2015
Mailing address
2280 S CHURCH ST STE 201, SUITE 201, BURLINGTON, NC 27215-5397
(336) 538-2014
(336) 538-2015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9800935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022135915
D-U-N-S#
—
01
—
023X3
BCBS GROUP#
—
01
—
1053375535
RENDERING PROVIDER NPI
—
01
—
1871786673
GROUP NPI
—
01
—
2260309A
PROVIDER PTAN
—
01
—
2349572
MEDICARE GROUP NUMBER
NC
05
—
7911368
—
NC
Enumeration date
08/24/2007
Last updated
04/24/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us