GRACE OB/GYN LLC – NPI #1790052090
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

GRACE OB/GYN LLC is a provider located in FAIRHOPE, AL. NPPES has assigned the NPI number 1790052090 to GRACE OB/GYN LLC on November 30, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was previously updated about 14 years ago on Jan 10, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE OB/GYN LLC below.

NPI Profile for
GRACE OB/GYN LLC

NPI Number
1790052090
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACE OB/GYN LLC
Primary location
188 HOSPITAL DR
SUITE 303
FAIRHOPE, AL 36532-2043
Phone: (251) 990-1960 Fax: (251) 990-1964
Mailing address
PO BOX 2492
DAPHNE, AL 36526-2492
Phone: (251) 990-1960 Fax: (251) 990-1964
Organization Subpart
No
Authorized Official
JENNIFER GRACE
PRESIDENT
Phone: (251) 990-1960
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)
AL 24538

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.