Organization
J MARK GRESHAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONES MARK GRESHAM M.D. (OWNER)
(706) 437-0770
Entity
Organization
Contact information
Practice address
301 JONES AVE, WAYNESBORO, GA 30830-1510
(706) 437-0770
(706) 437-0540
Mailing address
301 JONES AVE, P O BOX 328, WAYNESBORO, GA 30830-1510
(706) 437-0770
(706) 437-0540
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
039358
GA
Other
Enumeration date
04/04/2008
Last updated
06/06/2008
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