MEDICARE: HICKORY HILLS CHIROPRACTIC P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2156	TN

General Provider Information

NPI Number	:	1265587935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HICKORY HILLS CHIROPRACTIC P C

Provider Business Mailing Address
First Line	:	2596 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-3504
Country	:	US
Telephone Number	:	615-366-8000
Fax Number	:	615-399-7053

Provider Business Practice Location Address
First Line	:	2596 MURFREESBORO PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37217-3504
Country	:	US
Telephone Number	:	615-366-8000
Fax Number	:	615-399-7053

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JAMES C DANIEL
Credential	:	D.C.
Telephone Number	:	615-366-8000

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	09/13/2007

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