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Mrs. Theresa Sharlene Goss Gregory, RN
Nursing Facility/Intermediate Care Facility in Dublin, Georgia
NPI 1245403369

Theresa Sharlene Goss Gregory is a Nursing Facility/Intermediate Care Facility based in Dublin, GA. Theresa Sharlene Goss Gregory practices in Dublin, GA and has the professional credentials of RN. The NPI Number for Theresa Sharlene Goss Gregory is 1245403369 and holds a License No. 130065 (Georgia).

The current practice location address for Theresa Sharlene Goss Gregory is 1826 Veterans Blvd, Dublin, GA and can be reached out via phone at 478-272-1210 and via fax at 478-277-2823.

Location: 1826 Veterans Blvd, Dublin, GA, 31021-3620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245403369
Provider Name
Theresa Sharlene Goss Gregory
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1826 Veterans Blvd, Dublin, GA, 31021-3620
Phone Number
478-272-1210
Fax Number
478-277-2823
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130065 01 GA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1826 Veterans Blvd
City
Dublin
State
Georgia
Zip
31021-3620
Phone Number
478-272-1210
Fax Number
478-277-2823
person
Provider Business Mailing Address Details
Address
1826 Veterans Blvd
City
Dublin
State
Georgia
Zip
31021-3620
Phone Number
478-272-1210
Fax Number
478-277-2823
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
130065 (Georgia)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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