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Individual

DAVID HASKINS MACRAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
610 PROVIDENCE PARK DR E STE 101, MOBILE, AL 36695
(251) 378-3900
(251) 378-3902
Mailing address
610 PROVIDENCE PARK DR E STE 101, MOBILE, AL 36695-4618
(251) 378-3900
(251) 378-3902

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00011594
AL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD.11594
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000093298
AL
01
0410744
UNITED HEALTHCARE
AL
01
110219671
RAILROAD MEDICARE
AL
01
5099060
AETNA
AL
01
51093298
BCBS OF AL
AL
Enumeration date
07/27/2006
Last updated
02/06/2019
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