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NPI Code Detail

MEDICARE: DR. ALLISON LUNDY MCCRAE MD

MEDICARE: DR. ALLISON LUNDY MCCRAE MD
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
1208600000XSurgery Physician31113SC

General Provider Information

NPI Number : 1023270287
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLISON LUNDY MCCRAE MD
Provider Business Mailing Address
First Line : PO BOX 519
Second Line :
City : SULLIVANS ISLAND
State : SC
Zip : 29482-0519
Country : US
Telephone Number : 484-431-2242
Fax Number :
Provider Business Practice Location Address
First Line : 9330 MEDICAL PLAZA DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9104
Country : US
Telephone Number : 843-797-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2008
Last Update Date : 03/15/2024

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