MEDICARE: JAMES F. MCNAB MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	MD29369	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821232471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES F. MCNAB MD LLC

Provider Business Mailing Address
First Line	:	PO BOX 864541
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-4541
Country	:	US
Telephone Number	:	512-583-0205
Fax Number	:	512-583-2002

Provider Business Practice Location Address
First Line	:	1680 RIBAUT RD
Second Line	:	STE A
City	:	PORT ROYAL
State	:	SC
Zip	:	29935-2008
Country	:	US
Telephone Number	:	843-522-7800
Fax Number	:	843-524-0378

Authorized Official
Title or Position	:	MD/OWNER
Name	:	JAMES F MCNAB JR.
Credential	:	MD
Telephone Number	:	843-522-7800

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	09/17/2009

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