Organization
DR. LEON GRESHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON GRESHAM O.D. (OWNER)
(706) 629-8266
Entity
Organization
Contact information
Practice address
100 S COURT ST, CALHOUN, GA 30701-2296
(706) 629-8266
(706) 629-8267
Mailing address
100 S COURT ST, CALHOUN, GA 30701-2296
(706) 629-8266
(706) 629-8267
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005233A
—
GA
Enumeration date
02/13/2008
Last updated
02/13/2008
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