Provider Demographics
NPI:1982722070
Name:NORDMAN, MALIA LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:MALIA
Middle Name:LEIGH
Last Name:NORDMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:MALIA
Other - Middle Name:LEIGH
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:126 LAWNDALE LN
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460
Mailing Address - Country:US
Mailing Address - Phone:949-201-5323
Mailing Address - Fax:
Practice Address - Street 1:126 LAWNDALE LN
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460
Practice Address - Country:US
Practice Address - Phone:949-201-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3665111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor