| Grace Medical Of Aiken Llc | |
|
415 Barnwell Ave Nw Aiken SC 29801-3937 | |
| (803) 226-0274 | |
| (803) 226-0436 |
| Full Name | Grace Medical Of Aiken Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 415 Barnwell Ave Nw, Aiken, South Carolina |
| Authorized Official Name and Position | Anna Allman (OWNER) |
| Authorized Official Contact | 8032701101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Medical Of Aiken Llc Po Box 537 Aiken SC 29802-0537 Ph: (803) 226-0274 | Grace Medical Of Aiken Llc 415 Barnwell Ave Nw Aiken SC 29801-3937 Ph: (803) 226-0274 |
| NPI Number | 1619744398 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/05/2023 |
| Medicare PECOS PAC ID | 0648623140 |
|---|---|
| Medicare Enrollment ID | O20240131004583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619744398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Anna Allman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427328681 PECOS PAC ID: 3274856604 Enrollment ID: I20141216001090 |
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