# GRACE FAMILY MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235318577
- **Authorized official:** DR. KATHLEEN MEEHAN-DE LA CRUZ MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (828) 694-0013

## Contact information

- **Practice address:** 902 FLEMING ST STE B, HENDERSONVILLE, NC 28791-3504
- **Practice address phone:** (828) 694-0013
- **Practice address fax:** (828) 693-3430
- **Mailing address:** 902 FLEMING ST STE B, HENDERSONVILLE, NC 28791-3504
- **Mailing address phone:** (828) 694-0013
- **Mailing address fax:** (828) 693-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | 86400 | NC | Yes |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 11/02/2007