Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 52178 | SC |
N | 207X00000X | Orthopaedic Surgeon | ME130691 | FL |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 52178 | SC |
NPI | 1154687861 |
---|---|
Provider Name | James Lucas Mcfadden |
First Address | Atlanta, GA 30374-3904 |
Second Address | Lexington, SC 29072-7295 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2012 |
Last Update Date | 13/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020485600 | (05) | FL |
3G3M3 | BCBS (01) | FL |
521787 | (05) | SC |
JA334Z | MEDICARE (01) | FL |