MEDICARE: DR. MARY GRESHAM PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	1204	GA

General Provider Information

NPI Number	:	1740309319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY GRESHAM PHD

Provider Business Mailing Address
First Line	:	2801 BUFORD HWY NE STE 260
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2137
Country	:	US
Telephone Number	:	404-320-6510
Fax Number	:	404-321-0311

Provider Business Practice Location Address
First Line	:	2801 BUFORD HWY NE STE 260
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2137
Country	:	US
Telephone Number	:	404-320-6510
Fax Number	:	404-321-0311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295848042 — DON WARREN TURNER MD
Practice Location Address:

2801 BUFORD HWY. , SUITE 160
ATLANTA, GA
30329-2137

Practice Phone: 404-320-7875
Practice Fax: 404-633-7848

1215286133 — MR. KEVIN EUGENE BUCKINS LPC
Practice Location Address:

2801 BUFORD HWY NE STE 503
ATLANTA, GA
30329-2137

Practice Phone: 678-637-8636
Practice Fax:

1871755645 — DR. ANNE ELISA COSSU M.D.
Practice Location Address:

2405 HENDERSON MILL RD NE
ATLANTA, GA
30345-2137

Practice Phone: 917-543-7721
Practice Fax:

1710693734 — FOUR CORNERS TESTING
Practice Location Address:

3343 PEACHTREE RD NE STE 145-2137
ATLANTA, GA
30326-1085

Practice Phone: 404-969-2779
Practice Fax:

1598864415 — MS. PATRICIA LOUISE DRERUP-COTTER LPC
Practice Location Address:

2801 BUFORD HWY NE STE 501
BROOKHAVEN, GA
30329-2137

Practice Phone: 404-402-2176
Practice Fax:

1083784417 — DAIRLYN J CHELETTE MSW LCSW
Practice Location Address:

2801 BUFORD HWY NE , STE 508
BROOKHAVEN, GA
30329-2137

Practice Phone: 678-397-1189
Practice Fax:

Directions to “ DR. MARY GRESHAM PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.