Provider Demographics
NPI:1134238371
Name:MCNABB, DANIEL M (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:M
Last Name:MCNABB
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Gender:M
Credentials:MD
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Mailing Address - Street 1:805 N 2ND ST
Mailing Address - Street 2:APT 4
Mailing Address - City:MEDFORD
Mailing Address - State:WI
Mailing Address - Zip Code:54451-1119
Mailing Address - Country:US
Mailing Address - Phone:570-510-7227
Mailing Address - Fax:843-497-6601
Practice Address - Street 1:CAROLINA HEALTH SPECIALISTS 4615 OLEANDER DR
Practice Address - Street 2:SUITE 201-A
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-1622
Practice Address - Country:US
Practice Address - Phone:843-449-9559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
WI47312207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34587800Medicaid
WI34587800Medicaid
WI34587800Medicaid