Individual
MRS. TIESHA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
500 GENE REED RD STE 103, BIRMINGHAM, AL 35215-8260
(205) 407-5718
(205) 407-5802
Mailing address
500 GENE REED RD STE 103, BIRMINGHAM, AL 35215-8260
(205) 407-5718
(205) 407-5802
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1-109186
AL
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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