Mazyar Michael Neshat, D.C., P.A.
Chiropractor, Sports Physician in Indian Trail, NC. Organization (NPI-2).
NPI number1912002007
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1912002007
- Entity type
- Organization (NPI-2)
- Legal business name
- Mazyar Michael Neshat, D.C., P.A.
- Organization subpart
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 2976 | NC | Yes |
Other names
- Maz Clinic Of Chiropractic (Doing Business As)
Practice location
616 Indian Trail Rd SIndian Trail, NC 28079-9680
Phone 704-821-7700 · Fax 704-821-7710
Mailing address
616 Indian Trail Rd SIndian Trail, NC 28079-9680
Phone 704-821-7700 · Fax 704-821-7710
Authorized official
Mazyar Michael Neshat
Owner
7048217700
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