EBONEE GRESHAM

DECATUR, GA
NPI1508279837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: GA  232368)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95291307)
163W00000X Registered Nurse
(Licence: OR  202205404)
163W00000X Registered Nurse
(Licence: NY  924955)
163W00000X Registered Nurse
(Licence: HI  121515)
163W00000X Registered Nurse
(Licence: IL  041577002)
Enumeration Date2014-06-04
Last Update Date2025-05-02
Business Address
EBONEE GRESHAM
4280 MEMORIAL DR STE D
DECATUR, GA 30032-1216
Phone number: 678-719-5525
Mailing Address
EBONEE GRESHAM
PO BOX 257
GRAYSON, GA 30017-0005
Phone number: 678-719-5525