Provider Demographics
NPI:1841091766
Name:AZIZ-MASSOUD, EVELEN (DC)
Entity type:Individual
Prefix:
First Name:EVELEN
Middle Name:
Last Name:AZIZ-MASSOUD
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 1:906 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37030-1003
Mailing Address - Country:US
Mailing Address - Phone:615-735-9336
Mailing Address - Fax:
Practice Address - Street 1:906 MAIN ST N
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1003
Practice Address - Country:US
Practice Address - Phone:615-735-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor