Gregory, Theresa Sharlene Goss

Gregory, Theresa Sharlene Goss is an sole proprietor health care provider with primary practice located at 1826 Veterans Blvd , Dublin GA 31021-3620. She recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as her primary health care specialty. Gregory, Theresa Sharlene Goss can be contacted via phone (478) 272-1210.

Contact Information

Primary practice address
1826 Veterans Blvd Dublin GA 31021-3620
Phone: (478) 272-1210
Fax: (478) 277-2823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 130065 Georgia

Profile Details

NPI number 1245403369
LBN Legal business name Gregory, Theresa Sharlene Goss
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245403369 NPPES
Georgia Other 130065 STATE BOARD OF NURSING

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