Provider Demographics
NPI:1427600287
Name:MCNATT, TOBIN RIDOUT (MAC ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:TOBIN
Middle Name:RIDOUT
Last Name:MCNATT
Suffix:
Gender:M
Credentials:MAC ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25056 E CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21639-1523
Mailing Address - Country:US
Mailing Address - Phone:410-829-4272
Mailing Address - Fax:
Practice Address - Street 1:13 N 6TH ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:MD
Practice Address - Zip Code:21629-1107
Practice Address - Country:US
Practice Address - Phone:410-829-4272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02640171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist