Provider Demographics
NPI:1437167202
Name:MCLAIN, CHRISTOPHER P (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:P
Last Name:MCLAIN
Suffix:
Gender:M
Credentials:MD
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 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:615 WESLEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7204
Practice Address - Country:US
Practice Address - Phone:843-571-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC26418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC264181Medicaid
SCP00236109OtherRR MEDICARE
SCP00727242OtherRAILROAD MEDICARE ID-RSFPP
SCP00287008Medicare ID - Type UnspecifiedRR MEDICAID NUMBER
SCAA08499223Medicare PIN
SCAA08494958Medicare PIN
SC264181Medicaid
SCP00236109OtherRR MEDICARE
SC1760432298Medicare PIN
SCP00727242OtherRAILROAD MEDICARE ID-RSFPP