Organization
MAZYAR NESHAT, D.C., P.A.
Active
Other names
Maz Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZYAR MICHAEL NESHAT DC (OWNER)
(704) 882-2255
Entity
Organization
Contact information
Practice address
1001 VAN BUREN AVE STE E, INDIAN TRAIL, NC 28079-5584
(704) 882-2255
(704) 882-2252
Mailing address
1001 VAN BUREN AVE STE E, INDIAN TRAIL, NC 28079-5584
(704) 882-2255
(704) 882-2252
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
2976
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085EA
BCBS
NC
05
—
5901819
—
NC
01
—
618261
UHC
NC
Enumeration date
01/02/2007
Last updated
10/16/2009
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