Provider Demographics
NPI:1538193529
Name:MACRAE, MARGARET SPENCER (CNM)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:SPENCER
Last Name:MACRAE
Suffix:
Gender:F
Credentials:CNM
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 6
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0006
Mailing Address - Country:US
Mailing Address - Phone:828-586-6262
Mailing Address - Fax:828-586-5350
Practice Address - Street 1:137 MEDICAL PARK LOOP
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5222
Practice Address - Country:US
Practice Address - Phone:828-586-6262
Practice Address - Fax:828-586-5350
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC215207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC700069Medicaid
NC2590510BMedicare PIN
S68400Medicare UPIN