| Connie Gresham, LPN | |
|
180 Water Oak Dr, Cedartown, GA 30125-2095 | |
| (706) 270-5033 | |
| Not Available |
| Full Name | Connie Gresham |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 180 Water Oak Dr, Cedartown, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972087096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN031192 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Connie Gresham, LPN 1401 Applewood Dr Ste 1, Dalton, GA 30720-2699 Ph: () - | Connie Gresham, LPN 180 Water Oak Dr, Cedartown, GA 30125-2095 Ph: (706) 270-5033 |
Kimber Fields, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 740 Fletcher St, Cedartown, GA 30125 Phone: 770-748-1500 | |
Mr. Don Cleveland Kilcrease Jr., Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 180 Water Oak Dr, Cedartown, GA 30125 Phone: 770-748-0030 Fax: 770-749-4418 |