GRACE OB/GYN LLC NPI 1790052090

NPI Information

GRACE OB/GYN LLC is an obstetrics obstetrics gynecology in Fairhope, AL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee GRACE OB/GYN LLC NPI is 1790052090. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 HOSPITAL DR
SUITE 303
FAIRHOPE, AL
ZIP 36532-043
Phone: (251) 990-1960
Fax: (251) 990-1964

The provider's authorized official is Jennifer M Grace .
The authorized official title is President and has the following contact phone number (251) 990-1960.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 1/10/2012.

Taxonomy Codes

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