Grace Medical Clinic

LBN: Grace Medical Clinic
Grace Medical Clinic is an health care organization with primary practice located at 230 W College St B, Griffin GA 30224-4121. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Grace Medical Clinic can be contacted via phone (678) 688-1155, or through Osehobo, Ehi Philip via phone (678) 688-1155.

Contact Information

Primary practice address
230 W College St B Griffin GA 30224-4121
Phone: (678) 688-1155
Fax: (678) 688-5071
Website:
Map and Directions
Authorized official contact:
Name: Osehobo, Ehi Philip Doctor of Medicine (MD)
Phone: (678) 688-1155

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 049075 Georgia

Profile Details

NPI number 1093887168
LBN Legal business name Grace Medical Clinic
DBA Doing business as
Authorized official Osehobo, Ehi Philip Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 11th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093887168 NPPES
Georgia MEDICAID 187778601A

Popular Providers