Individual
MEGAN GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WAVERLY RD, KINGSPORT, TN 37664-2523
(423) 224-1300
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, PO BOX 9054, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81919
TN
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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