NPI 1023956158
Mary Grace London, DO
Practice location
- Address
- 2001 Kingsley Ave, Orange Park, FL 32073-5148
- Phone
- (904) 639-8242
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1023956158
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Mar 2026
- Record last updated
- 23 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.