NPI 1114602836

Ashonta Dee Gresham, THERAPIST

Practitioner Health & Wellness Coach Riverdale, GA

Practice location

Address: 613 Roberts Dr STE E, Riverdale, GA 30274-2913
Phone: (404) 566-0035

Registered specialties (3)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X Licence COSA065559 (GA)

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Naturopath

Other Service Providers Taxonomy 175F00000X Licence COSA065559 (GA)

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Gastroenterology Physician

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence COSA065559 (GA)

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Registry record

NPI: 1114602836
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2023
Record last updated: 17 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.