Provider Demographics
NPI:1932899143
Name:DARWIN, GRACE
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:DARWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 CAHABA VALLEY TRCE
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-3627
Mailing Address - Country:US
Mailing Address - Phone:205-999-6416
Mailing Address - Fax:
Practice Address - Street 1:5060 CAHABA VALLEY TRCE
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-3627
Practice Address - Country:US
Practice Address - Phone:205-999-6416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant