Individual
MR. GUY CHRISTOPHER HANNIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
111 COLONY CROSSING WAY STE 200, MADISON, MS 39110-6873
(601) 203-3869
Mailing address
PO BOX 6890, EVANSVILLE, IN 47719-0890
(812) 491-3856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1678
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08501240
—
MS
Enumeration date
01/08/2007
Last updated
03/17/2021
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