Provider Demographics
NPI:1144392200
Name:DIAZ, CHRISTY D (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:D
Last Name:DIAZ
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 1:211 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-1301
Mailing Address - Country:US
Mailing Address - Phone:615-646-1003
Mailing Address - Fax:615-646-5686
Practice Address - Street 1:211 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1301
Practice Address - Country:US
Practice Address - Phone:615-646-1003
Practice Address - Fax:615-646-5686
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1835111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4024674OtherBCBS PROVIDER #
TN3972081Medicare ID - Type Unspecified
TN4024674OtherBCBS PROVIDER #