Individual
DR. PHAYTHOUNE CHOTHMOUNETHINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 SAUNDERSVILLE RD, HENDERSONVILLE, TN 37075-8967
(629) 888-5175
(629) 888-5176
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-2131
(629) 888-5175
(629) 888-5176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46218
TN
207Q00000X
Family Medicine Physician
80815
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520506
—
TN
Enumeration date
01/29/2008
Last updated
03/12/2020
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