Provider Demographics
NPI:1992872394
Name:MCGRAW, CHAD C (PA-C)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:C
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BRECKENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-5460
Mailing Address - Country:US
Mailing Address - Phone:910-273-1262
Mailing Address - Fax:
Practice Address - Street 1:114 BRECKENRIDGE DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-5460
Practice Address - Country:US
Practice Address - Phone:910-273-1262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant