Organization
MAZYAR NESHAT, D.C., P.A.
Active
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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