Provider Demographics
NPI:1154751287
Name:MAHA, GEORGE CHRISTOPER (JD, PHD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHRISTOPER
Last Name:MAHA
Suffix:
Gender:M
Credentials:JD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 YORK CT
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3361
Mailing Address - Country:US
Mailing Address - Phone:336-436-7307
Mailing Address - Fax:336-436-7384
Practice Address - Street 1:1440 YORK CT
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3361
Practice Address - Country:US
Practice Address - Phone:336-436-7307
Practice Address - Fax:336-436-7384
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QL0901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyLaboratory Management, Diplomate