Organization
MCCRAW FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE WEST (OFFICE MANAGER)
(864) 228-1168
Entity
Organization
Contact information
Practice address
404 SE MAIN ST, SIMPSONVILLE, SC 29681-2652
(864) 228-1168
(864) 228-1169
Mailing address
404 SE MAIN ST, SIMPSONVILLE, SC 29681-2652
(864) 228-1168
(864) 228-1169
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
19527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195274
—
SC
Enumeration date
09/04/2007
Last updated
09/04/2007
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