Gregory Andrew Hanissian MD

NPI 1033216148 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1033216148
Gender Male
Enumeration Date 09/20/2006
Last Updated 01/11/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2101 MERCHANTS ROW
STE. 3
GERMANTOWN TN, 38138-3862, US
Phone (901) 751-9696
Fax (901) 757-8960
Business Location
2101 MERCHANTS ROW
STE. 3
GERMANTOWN TN, 38138-3862, US
Phone (901) 751-9696
Fax (901) 757-8960
Toxanomy
Taxonomy Code 207K00000X
License State Tennessee
License Number 25121
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According to our database, Gregory Andrew Hanissian MD NPI is 1033216148, taxonomy code is 207K00000X and license number is 25121, license state is located at Tennessee. Gregory Andrew Hanissian MD physically located at 2101 Merchants Row, Germantown TN, 38138-3862. NPI Number Gregory Andrew Hanissian MD has the Individual type.

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1033216148 NPI number is provided on an as is basis without warranty of any kind. 1033216148 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory Andrew Hanissian MD are for informational purposes only.