Provider Demographics
NPI:1255390191
Name:MCNAIR, CHARLTON SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLTON
Middle Name:SCOTT
Last Name:MCNAIR
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 1:8943 S TRYON ST UNIT K
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3539
Mailing Address - Country:US
Mailing Address - Phone:704-588-0885
Mailing Address - Fax:704-588-2616
Practice Address - Street 1:8943 S TRYON ST UNIT K
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3539
Practice Address - Country:US
Practice Address - Phone:704-588-0885
Practice Address - Fax:704-588-2616
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC97010572083P0500X, 208D00000X, 208100000X, 2083P0500X
SC234642083P0500X, 208D00000X, 208100000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Not Answered208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCN01057Medicaid
NC1060AOtherBLUE CROSS BLUE SHIELD NC
D4216OtherMEDCOST
H00889Medicare UPIN