Provider Demographics
NPI:1265587935
Name:HICKORY HILLS CHIROPRACTIC P C
Entity type:Organization
Organization Name:HICKORY HILLS CHIROPRACTIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:615-366-8000
Mailing Address - Street 1:2596 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3504
Mailing Address - Country:US
Mailing Address - Phone:615-366-8000
Mailing Address - Fax:615-399-7053
Practice Address - Street 1:2596 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3504
Practice Address - Country:US
Practice Address - Phone:615-366-8000
Practice Address - Fax:615-399-7053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty