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Individual

DR. RICHARD LEE GRESHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
433 N PINE ST, FLORENCE, AL 35630-4654
(256) 740-8383
(256) 740-8386
Mailing address
433 N PINE ST, FLORENCE, AL 35630-4654
(256) 740-8383
(256) 740-8386

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
587-A
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009905080
AL
05
009907280
AL
05
529901740
AL
Enumeration date
08/24/2006
Last updated
10/26/2016
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