Individual
TINA DARNISE COVINGTON GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
745 S CHURCH ST STE 601A, MURFREESBORO, TN 37130-4980
(615) 295-2411
(833) 902-3584
Mailing address
745 S CHURCH ST STE 601A, MURFREESBORO, TN 37130-4980
(615) 295-2411
(833) 902-3584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD024607
TN
207RC0000X
Cardiovascular Disease Physician
Primary
24607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3717981
—
TN
05
—
Q028466
—
TN
Enumeration date
01/23/2006
Last updated
01/03/2024
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