| Organization Name: | GRACE PEDIATRICS, LLC |
| NPI Number: | 1548301914 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE P MEDINA (SINGLE MEMBER) |
| Mailing Address: | 74186 Tallassee Hwy Suite B Wetumpka |
| State: | AL US |
| Postal Code: | 360925643 |
| Phone Number: | 3345670346 |
| Fax Number: | 3345670855 |
| NPI Enumeration Date: | 02/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208000000X |
| License Number: | 22736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |