Search › Georgia › 364SH0200X
Jacquita Gresham
NPI 1902538887 · on the registry since 2022
Practice
- Address
- 95 Stone Ridge Way
Covington, GA 30016 - Phone
- (470) 621-5877
- Organisation at this address
- Vds Home Health Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 364SH0200X
364SH0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-28
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