Individual
GREGORY ANDREW HANISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 MERCHANTS ROW, STE. 3, GERMANTOWN, TN 38138-3862
(901) 751-9696
(901) 757-8960
Mailing address
2101 MERCHANTS ROW, STE. 3, GERMANTOWN, TN 38138-3862
(901) 751-9696
(901) 757-8960
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25121
TN
Other
Enumeration date
09/20/2006
Last updated
01/11/2008
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