Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
F.M.A., P.A.
Active
Organization
F.M.A., P.A.
Active
Other names
Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN DOUGLAS GENTRY M.D. (PRESIDENT)
(864) 654-7841
Entity
Organization
Contact information
Practice address
522 COLLEGE AVE, SUITE 1, CLEMSON, SC 29631-1443
(864) 654-7841
(864) 654-7641
Mailing address
522 COLLEGE AVE, SUITE 1, CLEMSON, SC 29631-1443
(864) 654-7841
(864) 654-7641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9992
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24081
DR. TOLBERT STATE LICENSE
SC
01
—
9992
GENTRY STATE LICENSE
SC
05
—
PC3475
—
SC
Enumeration date
08/20/2006
Last updated
08/08/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up