NPI 1972087096

Connie Gresham, LPN

Practitioner Licensed Practical Nurse Cedartown, GA

Practice location

Address: 180 Water Oak Dr, Cedartown, GA 30125-2095
Phone: (706) 270-5033
Mailing address: 1401 Applewood Dr STE 1, Dalton, GA 30720-2699

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN031192 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1972087096
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2018
Record last updated: 25 Sep 2018

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.