Provider Demographics
NPI:1760585624
Name:MCGRAW, ERIC SEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SEAN
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4504 KIMBERLY WAY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-0407
Mailing Address - Country:US
Mailing Address - Phone:252-671-9255
Mailing Address - Fax:
Practice Address - Street 1:5814 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4778
Practice Address - Country:US
Practice Address - Phone:910-791-9130
Practice Address - Fax:910-791-9165
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3523111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor