Katherine Mary Gresham PA-C

NPI 1194844183 - Physician Assistant - 363A00000X

NPI Details
NPI 1194844183
Gender Female
Enumeration Date 03/29/2007
Last Updated 02/10/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
7485 POPLAR PIKE
GERMANTOWN TN, 38138-5934, US
Phone (901) 752-4999
Fax (901) 752-3761
Business Location
2248 W GERMANTOWN SQ
GERMANTOWN TN, 38138-4814, US
Phone (901) 756-7492
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9103353
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According to our database, Miss Katherine Mary Gresham PA-C NPI is 1194844183, taxonomy code is 363A00000X and license number is PA9103353, license state is located at Florida. Katherine Mary Gresham PA-C physically located at 7485 Poplar Pike, Germantown TN, 38138-5934. NPI Number Katherine Mary Gresham PA-C has the Individual type.

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1194844183 NPI number is provided on an as is basis without warranty of any kind. 1194844183 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Mary Gresham PA-C are for informational purposes only.