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Individual

DR. PHILIP HENRY HANNEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
463 BMH PHYSICIANS OFFICE BLDG, MARYVILLE, TN 37804-5807
(865) 980-5100
(865) 980-5105
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
61011
TN
207RP1001X
Pulmonary Disease Physician
Primary
61011
TN

Other

Enumeration date
06/02/2013
Last updated
06/26/2020
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