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NPI Code Detail

MEDICARE: GRACE CATHERINE GARCIA PA-C

MEDICARE:   GRACE CATHERINE GARCIA  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNC

General Provider Information

NPI Number : 1881571214
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE CATHERINE GARCIA PA-C
Provider Business Mailing Address
First Line : PO BOX 96860
Second Line :
City : CHARLOTTE
State : NC
Zip : 28296-6860
Country : US
Telephone Number : 866-557-2612
Fax Number :
Provider Business Practice Location Address
First Line : 6419 CAROLINA BEACH RD STE A
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-3672
Country : US
Telephone Number : 910-790-3660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 09/12/2025

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Directions to “ GRACE CATHERINE GARCIA PA-C” Practice Location

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