Organization
GRACE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIE ANN BURNETTE NP (OWNER)
(276) 733-5513
Entity
Organization
Contact information
Practice address
430 W STUART DR, HILLSVILLE, VA 24343-1527
(276) 728-3332
Mailing address
PO BOX 1341, HILLSVILLE, VA 24343-7341
(276) 728-3332
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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