| Grace Family Practice | |
|
2562 Kinard St Newberry SC 29108-2910 | |
| (803) 321-2499 | |
| (803) 321-2585 |
| Full Name | Grace Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2562 Kinard St, Newberry, South Carolina |
| Authorized Official Name and Position | Kacey Kneece Reep (PRESIDENT/ CEO) |
| Authorized Official Contact | 8032716334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Practice Po Box 476 Newberry SC 29108-0476 Ph: (803) 321-2499 | Grace Family Practice 2562 Kinard St Newberry SC 29108-2910 Ph: (803) 321-2499 |
| NPI Number | 1568805307 |
|---|---|
| Provider Enumeration Date | 04/11/2013 |
| Last Update Date | 04/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568805307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M-33196 (South Carolina) | Primary |
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