Grace Medical Group, Llc
LBN: Grace Medical Group, Llc
Grace Medical Group, Llc is an health care organization with primary practice located at 3025 Farrow Rd , Columbia SC 29203. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Grace Medical Group, Llc can be contacted via phone (803) 933-0288, or through Mathews-Betts, Cynthia via phone (803) 933-0288.
Contact Information
Primary practice address
3025 Farrow Rd
Columbia SC 29203
Phone: (803) 933-0288
Fax: (803) 933-9920
Website:
Authorized official contact:
Name: Mathews-Betts, Cynthia Doctor of Medicine (MD)
Phone: (803) 933-0288
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 12184 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 13924 | South Carolina |
Profile Details
| NPI number | 1346468204 |
|---|---|
| LBN Legal business name | Grace Medical Group, Llc |
| DBA Doing business as | |
| Authorized official | Mathews-Betts, Cynthia Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Aug 17th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346468204 | NPPES |
| South Carolina | MEDICAID | GP3812 |
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