Individual
NICHOLAS HAI MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Mailing address
PO BOX 409, BLUEFIELD, WV 24701-0409
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2017-02137
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2017-02137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881911733
—
NC
01
—
19S51
BCBS NC
NC
Enumeration date
04/30/2010
Last updated
09/28/2018
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