Individual
MR. GREGORY PRESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R/L
Contact information
Practice address
520 COOK ST, SUITE D, MADISONVILLE, TN 37354-1508
(423) 442-1440
(423) 442-1441
Mailing address
520 COOK ST, SUITE D, MADISONVILLE, TN 37354-1508
(423) 442-1440
(423) 442-1441
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT0000002673
TN
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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