Individual
DR. GRACE LEE HENNINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
126 EXECUTIVE DR STE 110, WILKESBORO, NC 28697-7588
(336) 818-3177
(336) 667-2213
Mailing address
126 EXECUTIVE DR STE 110, WILKESBORO, NC 28697-7588
(336) 818-2177
(336) 667-2213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A110582
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2018-00052
NC
208M00000X
Hospitalist Physician
2018-00052
NC
Other
Enumeration date
06/16/2008
Last updated
07/21/2022
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