Grace Family Practice Clinic, P.C.

LBN: Grace Family Practice Clinic, P.C.
Grace Family Practice Clinic, P.C. is an health care organization with primary practice located at 1716 Parr Ave Ste D , Dyersburg TN 38024-2074. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Grace Family Practice Clinic, P.C. can be contacted via phone (731) 288-0911, or through Casey-Bolden, Monique via phone (731) 288-0911.

Contact Information

Primary practice address
1716 Parr Ave Ste D Dyersburg TN 38024-2074
Phone: (731) 288-0911
Fax: (731) 288-0065
Website:
Map and Directions
Authorized official contact:
Name: Casey-Bolden, Monique Doctor of Medicine (MD)
Phone: (731) 288-0911

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD35727 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD25289 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN13637 Tennessee

Profile Details

NPI number 1083124671
LBN Legal business name Grace Family Practice Clinic, P.C.
DBA Doing business as
Authorized official Casey-Bolden, Monique Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 9th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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