Organization
GRACE FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MEEHAN-DE LA CRUZ MD (PHYSICIAN/OWNER)
(828) 694-0013
Entity
Organization
Contact information
Practice address
902 FLEMING ST STE B, HENDERSONVILLE, NC 28791-3504
(828) 694-0013
(828) 693-3430
Mailing address
902 FLEMING ST STE B, HENDERSONVILLE, NC 28791-3504
(828) 694-0013
(828) 693-3430
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
86400
NC
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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