Organization
GRACE MEDICAL INSTITUTE
Active
Other names
Grace Medical Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMEKA DUNCAN CPC (OWNER)
(470) 489-7917
Entity
Organization
Contact information
Practice address
655 VILLAGE SQUARE DR, STONE MOUNTAIN, GA 30083-3300
(470) 881-2285
(470) 945-4151
Mailing address
79 DOGWOOD FERRY CT, LAWRENCEVILLE, GA 30046-9328
(770) 904-9173
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
174H00000X
Health Educator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCHOOL
EDUCATION SERVICES
GA
Enumeration date
03/15/2021
Last updated
01/31/2026
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