Individual
JONES MARK GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 WRIGHTSBORO RD, AUGUSTA, GA 30904-6220
(706) 737-3948
Mailing address
2806 HILLCREEK DR, AUGUSTA, GA 30909-6484
(706) 863-0200
(706) 863-4695
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
039358
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000644355H
—
GA
01
—
1326026618
PALMETTO GBA RAILROAD MEDICARE
GA
Enumeration date
01/06/2006
Last updated
02/21/2025
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