Individual
MALLORY HARLESS GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
264 NEW SHACKLE ISLAND RD STE 107, HENDERSONVILLE, TN 37075-2481
(615) 824-4244
(615) 824-5916
Mailing address
264 NEW SHACKLE ISLAND RD STE 107, HENDERSONVILLE, TN 37075-2481
(615) 824-4244
(615) 824-5916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2433
TN
Other
Enumeration date
12/10/2013
Last updated
08/15/2022
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