Graceol Corporation

LBN: Graceol Corporation
Graceol Corporation is an health care organization with primary practice located at 1035 Honey Creek Rd , Conyers GA 30013. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Graceol Corporation can be contacted via phone (404) 839-2688, or through Sowemimo, Yemi J. via phone (404) 839-2688.

Contact Information

Primary practice address
1035 Honey Creek Rd Conyers GA 30013
Phone: (404) 839-2688
Fax: (770) 922-9498
Website:
Map and Directions
Authorized official contact:
Name: Sowemimo, Yemi J. FNP-C
Phone: (404) 839-2688

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1306373188
LBN Legal business name Graceol Corporation
DBA Doing business as
Authorized official Sowemimo, Yemi J. FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2017
Last updated Jul 21st, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306373188 NPPES
Georgia Other 1639177066 NPI
Georgia Other 1912016411 NPI
Georgia Other 1790107381 NPI

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