Individual
GANNON TISSOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1050 N JAMES M CAMPBELL BLVD STE 200, COLUMBIA, TN 38401-2754
(931) 381-2663
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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