GRACE INTERNAL MEDICINE, LLC is a primary care clinic center in Prattville, AL. GRACE INTERNAL MEDICINE, LLC NPI is 1740990886. The provider is registered as an organization entity type.
The provider's business location address is:
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL
ZIP 36066-286
Phone: (334) 568-2335
Fax: (334) 380-3567
The provider's authorized official is Vanosia Shablee Faison .
The authorized official title is Ceo and has the following contact phone number (334) 568-2335.
The CLIA number assigned to this NPI record is 01D2274046 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 11/30/2022 and was last updated on 6/12/2023.