Basic Information
| Provider Information | |||||||||
| NPI: | 1841752086 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GROCE | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | REBECCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 632 MORRISON SPRINGS RD # 202 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374153498 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237783329 | ||||||||
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| Practice Location | |||||||||
| Address1: | 632 MORRISON SPRINGS RD # 202 | ||||||||
| Address2: | |||||||||
| City: | CHATTANOOGA | ||||||||
| State: | TN | ||||||||
| PostalCode: | 374153498 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4237783329 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2019 | ||||||||
| LastUpdateDate: | 06/16/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 64677 | TN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.