Individual
SABINA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 GAINES SCHOOL RD, ATHENS, GA 30605-3133
(706) 549-2289
(706) 549-1177
Mailing address
975 GAINES SCHOOL RD, ATHENS, GA 30605-3133
(706) 549-2289
(706) 549-1177
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
109-R-0323
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262171341A
—
GA
05
—
829944758A
—
GA
05
—
896062924A
—
GA
05
—
896062924B
—
GA
05
—
896062924D
—
GA
05
—
896062924E
—
GA
Enumeration date
01/29/2013
Last updated
01/29/2013
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