Provider Demographics
NPI:1831974062
Name:MAHAFFEY, MICHAEL DAYTON
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:DAYTON
Last Name:MAHAFFEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 DOCTOR HENRY NORRIS DR
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-3176
Mailing Address - Country:US
Mailing Address - Phone:828-287-9260
Mailing Address - Fax:828-287-4101
Practice Address - Street 1:139 DOCTOR HENRY NORRIS DR
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-3176
Practice Address - Country:US
Practice Address - Phone:828-287-9260
Practice Address - Fax:828-287-4101
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC5020890363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program