Dr. Leon Gresham
Clinic/Center in Calhoun, GA. Organization (NPI-2).
NPI number1801064803
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1801064803
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Leon Gresham
- Organization subpart
- No
- Enumeration date
- Feb 13, 2008
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
100 S Court StCalhoun, GA 30701-2296
Phone 706-629-8266 · Fax 706-629-8267
Mailing address
100 S Court StCalhoun, GA 30701-2296
Phone 706-629-8266 · Fax 706-629-8267
Authorized official
Leon Gresham
Owner
7066298266
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