Gina R. Hanissian, MD

NPI #1710053327 in Collierville, Tennessee

Provider Information

NPI Number: 1710053327
Entity Type: Individual
Name: Gina R. Hanissian, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Nov 27, 2006
Last Updated: Jan 26, 2010

Practice Location

Address: 574 GREENTREE COVE
Address 2: SUITE 101
City: Collierville
State: Tennessee
ZIP Code: 38017
Phone: (901) 853-2021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Adolescent Medicine — Adolescent Medicine	207RA0000X
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X

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