Provider Demographics
NPI:1760621114
Name:MCLAUGHLIN, DANIEL W (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:MCLAUGHLIN
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 1:175 PLEASANT MEADOW ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-6583
Mailing Address - Country:US
Mailing Address - Phone:828-659-5700
Mailing Address - Fax:
Practice Address - Street 1:1615 OAKWOOD ST STE D
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-1250
Practice Address - Country:US
Practice Address - Phone:540-586-3089
Practice Address - Fax:540-586-5724
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201100667208600000X
FLME101034390200000X
VA0101269444208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program