Individual
DR. CHARLES WILLIAM MC RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 OLIVER ST, MARION, SC 29571-2338
(843) 423-4767
(843) 423-1080
Mailing address
302 OLIVER ST, MARION, SC 29571-2338
(843) 423-4767
(843) 423-1080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5972
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059723
—
SC
Enumeration date
09/17/2006
Last updated
07/08/2007
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