Connie Gresham, LPN | |
180 Water Oak Dr, Cedartown, GA 30125-2095 | |
(706) 270-5033 | |
Not Available |
Full Name | Connie Gresham |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 180 Water Oak Dr, Cedartown, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972087096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN031192 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Connie Gresham, LPN 1401 Applewood Dr Ste 1, Dalton, GA 30720-2699 Ph: () - | Connie Gresham, LPN 180 Water Oak Dr, Cedartown, GA 30125-2095 Ph: (706) 270-5033 |
Kimber Fields, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Mr. Don Cleveland Kilcrease Jr., Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-0030 Fax: 770-749-4418 |