Search › Georgia › 133VN1005X
Mary Etta Gresham, R.D.L.D
NPI 1316057862 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5330 Cayuga Ct
Lithonia, GA 30038 - Phone
- (404) 578-6525
Registry record
- Primary taxonomy
- 133VN1005X
133VN1005X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia