Grace Park
MD | Pediatrics | Female
Grace Park, MD is a Winston Salem, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Grace Park is
2808 Maplewood Ave, Winston Salem, North Carolina - 27103-4138. She can be contacted on phone at
336-765-9000 and fax number 336-765-5702.
Grace Park is a sole proprietor of her business.
NPI number (Unique professional ID) for Grace Park is
1407410004 which was assigned by NPPES on 29 Apr, 2019 and it was last updated on 25 Aug, 2022.
Grace Park license number is
202200704 for Pediatrics (208000000X) in North Carolina.
Grace Park is a pediatrician who 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.
Complete Profile:
Grace Park basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Grace Park |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Grace Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2808 Maplewood Ave
Winston Salem, NC, 27103-4138
United States |
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| Phone Number : | 336-765-9000 |
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| Fax Number : | 336-765-5702 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407410004 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Apr, 2019 |
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| Last Updated On : | 25 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grace Park are as mentioned. Primary taxonomy code for Grace Park, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 208000000X | Pediatrics | Yes | 202200704 | NC |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2808 Maplewood Ave
Winston Salem, NC, 27103-4138
United States |
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| Phone Number : | 336-765-9000 |
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| Fax Number : | 336-765-5702 |
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Business Location:
Patients can refer following map for directions to
Grace Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.