Southern Grace Healthcare
Southern Grace Healthcare is an Internal Medicine Physician in McDonough, Georgia. Licensed in Georgia. Registered with an NPI since 2015.
- Licensed in
- GA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
364 Racetrack RdMcDonough, GA 30252-1022
Phone: (678) 432-8811
Fax: (678) 432-8821
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 64068 (GA) |
|---|---|
| In Home Supportive Care Agency | Taxonomy 253Z00000X |
Record details
| NPI number | 1043609134 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aubrey Kekiwi — Ceo · (678) 432-8811 |
| NPI enumerated | January 13, 2015 |
| Last updated in NPPES | January 13, 2015 |
| Mailing address | 364 Racetrack Rd, McDonough, GA 30252-1022 |
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