Individual
DR. PHILIP CHANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
2313 21ST AVENUE SOUTH, NASHVILLE, TN 37212-4908
(615) 386-3333
(615) 386-3353
Mailing address
2313 21ST AVENUE SOUTH, NASHVILLE, TN 37212-4908
(615) 386-3333
(615) 386-3353
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P0000001568
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135186
BLUE CROSS BLUE SHIELD
TN
05
—
3685147
—
TN
Enumeration date
10/26/2006
Last updated
07/08/2007
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