Individual
LORRAINE M MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
719 OKATIE HWY, OKATIE, SC 29909-3963
(843) 987-7400
Mailing address
721 OKATIE HWY, OKATIE, SC 29909-3963
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
053901
GA
207Q00000X
Family Medicine Physician
53901
GA
207Q00000X
Family Medicine Physician
Primary
53901
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08CBCKR
MEDICARE
GA
05
—
107605002B
—
GA
05
—
G53901
—
SC
Enumeration date
07/22/2006
Last updated
06/10/2026
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