Organization
FIRST CHOICE HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY YVONNE GRESHAM RN (OWNER)
(573) 481-0700
Entity
Organization
Contact information
Practice address
335 N MAIN ST, SIKESTON, MO 63801-2170
(573) 481-0700
(573) 481-0787
Mailing address
335 N MAIN ST, SIKESTON, MO 63801-2170
(573) 481-0700
(573) 481-0787
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126637
RN LICENSE
MO
Enumeration date
11/08/2006
Last updated
08/22/2020
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