Individual
GRACE HORRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1260 CITY CENTER DR, CARMEL, IN 46032-3810
(463) 333-8426
Mailing address
3346 EDEN VILLAGE PL, CARMEL, IN 46033-3014
(317) 509-3692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-10904
NC
363A00000X
Physician Assistant
Primary
10003232A
IN
Other
Enumeration date
08/11/2020
Last updated
09/01/2021
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