Individual
DR. PHILEMON D CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-5344
Mailing address
2715 ANDERSON RD, NASHVILLE, TN 37217-4001
(615) 746-9533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17803
TN
207R00000X
Internal Medicine Physician
17803
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507231
—
TN
05
—
3883884
—
TN
01
—
4192397
BCBS
TN
01
—
P00643326
RAILROAD MEDICARE
TN
Enumeration date
07/27/2006
Last updated
12/30/2008
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