| Carolina Adult Medicine, Pa | |
|
568 Ruin Creek Rd Suite 002 Henderson NC 27536-2880 | |
| (252) 438-7777 | |
| (252) 438-7190 |
| Full Name | Carolina Adult Medicine, Pa |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 568 Ruin Creek Rd, Henderson, North Carolina |
| Authorized Official Name and Position | Mark John Gruchacz (PRESIDENT) |
| Authorized Official Contact | 2524387777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Adult Medicine, Pa 568 Ruin Creek Rd Suite 002 Henderson NC 27536-2880 Ph: (252) 438-7777 | Carolina Adult Medicine, Pa 568 Ruin Creek Rd Suite 002 Henderson NC 27536-2880 Ph: (252) 438-7777 |
| NPI Number | 1477512812 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477512812 | NPI | - | NPPES |
| 016G2 | Other | NC | BCBS GROUP NUMBER |
| 89016G2 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9700258 (North Carolina) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 9701734 (North Carolina) | Primary |
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Henderson Pulmonary & Sleep Medicine, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 568 Ruin Creek Rd Ste 127, Henderson, NC 27536 Phone: 252-430-7110 | |
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Maria Parham Wound Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 566 Ruin Creek Rd, Henderson, NC 27536 Phone: 252-436-1700 | |
Medical Careers Readiness Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Dabney Dr Ste B, Henderson, NC 27536 Phone: 757-739-7414 | |
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