Individual
DR. MICHAEL C DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 GLEN OAK BLVD, SUITE 200, HENDERSONVILLE, TN 37075-6424
(615) 822-6716
(615) 822-9805
Mailing address
105 GLEN OAK BLVD, SUITE 200, HENDERSONVILLE, TN 37075-6424
(615) 822-6716
(615) 822-9805
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD16303
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3014073
—
TN
Enumeration date
08/19/2005
Last updated
04/21/2014
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