Individual
MARISSA ANNE MENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3901 CENTRAL PIKE STE 351, HERMITAGE, TN 37076
(615) 889-8802
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
298487-1
NY
208600000X
Surgery Physician
Primary
61783
TN
Other
Enumeration date
04/08/2014
Last updated
01/21/2026
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