Provider Demographics
NPI:1982153169
Name:MCRAE, CHRISTI (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:
Last Name:MCRAE
Suffix:
Gender:F
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:PO BOX 3709
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-4019
Mailing Address - Country:US
Mailing Address - Phone:803-217-3325
Mailing Address - Fax:
Practice Address - Street 1:131 PROFESSIONAL PARK RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7847
Practice Address - Country:US
Practice Address - Phone:803-217-3325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor