| Organization Name: | GRACE FAMILY MEDICINE PLC |
| NPI Number: | 1285944983 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT B ADAMS (PHYSICIAN OWNER) |
| Mailing Address: | 15421 Forest Rd Ste B Forest |
| State: | VA US |
| Postal Code: | 245512274 |
| Phone Number: | 4345254722 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 10/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0101054652 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |