GRACE PEDIATRICS, LLC
Medical Practice at Tallassee Hwy, Wetumpka, AL

License number
Alabama 22736
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. MICHELLE P MEDINA MD
Title: SINGLE MEMBER
Phone: (334) 358-5145
Address
Address 2
74186 Tallassee Hwy SUITE B, Wetumpka, AL 36092
138 Bryan St, Pville, AL 36066
National Provider ID: 1548301914
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GRACE PEDIATRICS, LLC at bizstanding.com

Grace Pediatrics LLC

Prattville, AL

Industry:
Pediatric Medical Practice
Registration:
Feb 2, 2007
State ID:
489-776
Business type:
Domestic Limited Liability Company
Formation place:
Autauga County
Member:
Michelle Medina (Member)

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