Provider Demographics
NPI:1992762611
Name:MCCRAW, ANDREW S (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:MCCRAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:404 SE MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-2652
Mailing Address - Country:US
Mailing Address - Phone:864-228-1168
Mailing Address - Fax:864-228-1169
Practice Address - Street 1:404 SE MAIN ST
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-2652
Practice Address - Country:US
Practice Address - Phone:864-228-1168
Practice Address - Fax:864-228-1169
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC19527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCG62201Medicare UPIN
SCSC4206Medicare PIN