Gresham, Jones Mark
Gresham, Jones Mark is an individual health care provider with primary practice located at 2806 Hillcreek Dr , Augusta GA 30909-6484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gresham, Jones Mark can be contacted via phone (706) 863-0200.Contact Information
Primary practice address
2806 Hillcreek Dr
Augusta GA 30909-6484
Phone: (706) 863-0200
Fax: (706) 863-4695
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 039358 | Georgia |
Profile Details
NPI number | 1326026618 |
---|---|
LBN Legal business name | Gresham, Jones Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2006 |
Last updated | Sep 30th, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326026618 | NPPES |
Georgia | MEDICAID | 000644355H | |
Georgia | Other | 1326026618 | |
Georgia | Other | 1326026618 |
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