OrganizationActive
Carolina Adult Medicine, PA
NPI 1477512812 · Geriatric Medicine (Internal Medicine) Physician · Henderson, NC
Provider details
- NPI number
- 1477512812
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Gruchacz, President(252) 438-7777
- License
- 9700258 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
568 Ruin Creek Rd
Suite 002
Henderson, NC 27536-2880
Phone: (252) 438-7777
Fax: (252) 438-7190
Approximate (ZIP-level) locationGet directions
Mailing address
568 Ruin Creek Rd
Henderson, NC 27536-2880
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.