Individual
JILL COLE GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
9430 PARK WEST BLVD, SUITE 330, KNOXVILLE, TN 37923-4200
(865) 693-6065
(865) 531-6325
Mailing address
9430 PARK WEST BLVD, SUITE 330, KNOXVILLE, TN 37923-4200
(865) 693-6065
(865) 531-6325
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1416
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027061
—
TN
Enumeration date
08/14/2008
Last updated
04/05/2017
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