Organization
MAZYAR MICHAEL 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 D.C. (OWNER)
(704) 821-7700
Entity
Organization
Contact information
Practice address
616 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9680
(704) 821-7700
(704) 821-7710
Mailing address
616 INDIAN TRAIL RD S, INDIAN TRAIL, NC 28079-9680
(704) 821-7700
(704) 821-7710
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 OF NC
NC
05
—
5901819
—
NC
01
—
618261
UHC
NC
Enumeration date
09/13/2006
Last updated
08/22/2020
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