Grace Pediatrics, PC

Pediatrics Physician · Evans, GA

Organization Active NPI

NPI number 1750703781

Practice location

807a Oakhurst Dr
Evans, GA 30809-3696
Phone
(706) 426-7706
Fax
(706) 426-7728

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NPI record

NPI
1750703781
Entity type
Organization (Type 2)
Enumeration date
January 10, 2014
Last updated
January 10, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 060584 GA

Authorized official

Name
Dr. Brandy Nicole Gheesling, MD
Title
President
Phone
(706) 426-7706

About Grace Pediatrics, PC

Grace Pediatrics, PC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 807a Oakhurst Dr, Evans, GA 30809-3696. The NPI number 1750703781 was assigned on January 10, 2014 and the record was last updated on January 10, 2014.

Grace Pediatrics, PC lists a license in the registry: #060584 (GA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Brandy Nicole Gheesling, MD, President.

Frequently asked questions

What is the NPI number of Grace Pediatrics, PC?

The NPI number is 1750703781.

What is the phone number of Grace Pediatrics, PC?

The phone number listed for the practice location is (706) 426-7706.

Where is Grace Pediatrics, PC located?

807a Oakhurst Dr, Evans, GA 30809-3696.

What is the taxonomy code for Grace Pediatrics, PC?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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