Organization
GRACE HEMATOLOGY AND ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S KIM M.D. (PRESIDENT)
(828) 687-9993
Entity
Organization
Contact information
Practice address
3159 HENDERSONVILLE RD, FLETCHER, NC 28732-8235
(282) 687-9993
(828) 687-2491
Mailing address
PO BOX 38, FLETCHER, NC 28732-0038
(828) 687-9993
(828) 687-2491
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
200000490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1259C
BCBS
—
01
—
2280204C
MEDICARE
NC
01
—
56142
COMMERCIAL
NC
05
—
891259C
—
NC
Enumeration date
06/20/2008
Last updated
07/29/2008
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