Theresa Sharlene Goss Gregory RN

NPI 1245403369 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1245403369
Gender Female
Enumeration Date 04/09/2008
Last Updated 04/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1826 VETERANS BLVD
DUBLIN GA, 31021-3620, US
Phone (478) 272-1210
Fax (478) 277-2823
Business Location
1826 VETERANS BLVD
DUBLIN GA, 31021-3620, US
Phone (478) 272-1210
Fax (478) 277-2823
Toxanomy
Taxonomy Code 313M00000X
License State Georgia
License Number 130065
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According to our database, Mrs. Theresa Sharlene Goss Gregory RN NPI is 1245403369, taxonomy code is 313M00000X and license number is 130065, license state is located at Georgia. Theresa Sharlene Goss Gregory RN physically located at 1826 Veterans Blvd, Dublin GA, 31021-3620. NPI Number Theresa Sharlene Goss Gregory RN has the Individual type.

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1245403369 NPI number is provided on an as is basis without warranty of any kind. 1245403369 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Sharlene Goss Gregory RN are for informational purposes only.