GRACE MEDICAL AND WELLNESS CENTER LLC NPI 1720698426

NPI Information

  • NPI: 1720698426
  • Provider Name: GRACE MEDICAL AND WELLNESS CENTER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3772 SATELLITE BLVD STE 204
    DULUTH, GA
    ZIP 30096
  • Phone: (470) 885-8080

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NPI Details

GRACE MEDICAL AND WELLNESS CENTER, LLC is a family medicine in Duluth, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACE MEDICAL AND WELLNESS CENTER, LLC NPI is 1720698426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3772 SATELLITE BLVD STE 204
DULUTH, GA
ZIP 30096-681
Phone: (470) 885-8080
Fax: (470) 885-8088

The provider's authorized official is Wendy Fragoso .
The authorized official title is Director and has the following contact phone number (470) 885-8080.

The enumeration date for this NPI number is 8/6/2020 and was last updated on 9/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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