Southern Grace Healthcare

LBN: Southern Grace Healthcare
Southern Grace Healthcare is an health care organization with primary practice located at 364 Racetrack Rd , Mcdonough GA 30252-1022. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Agencies / In Home Supportive Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Southern Grace Healthcare can be contacted via phone (678) 432-8811, or through Kekiwi, Aubrey via phone (678) 432-8811.

Contact Information

Primary practice address
364 Racetrack Rd Mcdonough GA 30252-1022
Phone: (678) 432-8811
Fax: (678) 432-8821
Website:
Map and Directions
Authorized official contact:
Name: Kekiwi, Aubrey
Phone: (678) 432-8811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 64068 Georgia
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1043609134
LBN Legal business name Southern Grace Healthcare
DBA Doing business as
Authorized official Kekiwi, Aubrey
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2015
Last updated Jan 13th, 2015 - about 9 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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