Hanissian, Gina R.

Hanissian, Gina R. is an individual health care provider with primary practice located at 574 Greentree Cove Suite 101, Collierville TN 38017. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Hanissian, Gina R. can be contacted via phone (901) 853-2021.

Contact Information

Primary practice address
574 Greentree Cove Suite 101 Collierville TN 38017
Phone: (901) 853-2021
Fax: (901) 853-2434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 31681 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31681 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31681 Tennessee

Profile Details

NPI number 1710053327
LBN Legal business name Hanissian, Gina R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jan 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710053327 NPPES
Tennessee Other 4036588 BCBS PROVIDER

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