| Bgraceful LLC | |
|
1401 Doug Baker Blvd Ste 107566 Hoover AL 35242-4974 | |
| (205) 941-6099 | |
| (205) 303-3166 |
| Full Name | Bgraceful LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Doug Baker Blvd Ste 107566, Hoover, Alabama |
| Authorized Official Name and Position | Latoya M Carstarphen (OWNER/NP) |
| Authorized Official Contact | 2059416099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bgraceful LLC 1401 Doug Baker Blvd Ste 107566 Hoover AL 35242-4974 Ph: (205) 941-6099 | Bgraceful LLC 1401 Doug Baker Blvd Ste 107566 Hoover AL 35242-4974 Ph: (205) 941-6099 |
| NPI Number | 1932795390 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932795390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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