Individual
DR. MICHEL GEORGE HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(252) 522-7141
Mailing address
PO BOX 1295, BLUEFIELD, WV 24701-1295
(304) 323-4320
(304) 323-4333
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35355
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220017857
RAILROAD MEDICARE
—
01
—
38005
BCBS OF NC
NC
01
—
86732
MEDCOST
—
05
—
8938005
—
NC
Enumeration date
09/07/2005
Last updated
11/21/2017
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