Gresham, Mary Etta James

Gresham, Mary Etta James is an sole proprietor health care provider with primary practice located at 5330 Cayuga Ct , Lithonia GA 30038-1106. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Gresham, Mary Etta James can be contacted via phone (404) 578-6525.

Contact Information

Primary practice address
5330 Cayuga Ct Lithonia GA 30038-1106
Phone: (404) 578-6525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X LD000377 Georgia

Profile Details

NPI number 1316057862
LBN Legal business name Gresham, Mary Etta James
Credentials R.D.L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 31st, 2008 - about 17 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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