Individual
DR. DOUGLAS GRANVILLE GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 EISENHOWER DR, 1600, SAVANNAH, GA 31406-1600
(912) 355-6029
(912) 352-3071
Mailing address
340 EISENHOWER DR, 1600, SAVANNAH, GA 31406-1600
(912) 355-6029
(912) 352-3071
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
026286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000286591C
—
GA
Enumeration date
11/01/2006
Last updated
03/02/2010
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