Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ETTA JAMES GRESHAM, R.D.L.D.
Active Sole ProprietorMARY ETTA JAMES GRESHAM, R.D.L.D. is a Renal Nutrition healthcare provider located in LITHONIA, Georgia. NPI 1316057862 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · LITHONIA, GA
Registration Details
- NPI Number
- 1316057862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.979155543976 yrs)
- Last Updated
- Jul 31, 2008
- License
-
LD000377 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5330 CAYUGA CTLITHONIA, GA, 300381106Browse GA providers · Browse ZIP 30038
- Phone
- 4045786525
- Primary Specialty
-
Renal Nutrition
133VN1005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.