Provider Demographics
NPI:1972850758
Name:MAHAFFY, NATALIE ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ELIZABETH
Last Name:MAHAFFY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1595 COLD CREEK PL
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3646
Mailing Address - Country:US
Mailing Address - Phone:704-584-9299
Mailing Address - Fax:
Practice Address - Street 1:15940 NORTHCROSS DR STE B
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5063
Practice Address - Country:US
Practice Address - Phone:704-584-9299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4294111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor