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Individual

CARY L GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7605 FOREST AVE, SUITE 308, RICHMOND, VA 23229-4938
(804) 288-7077
(804) 285-8120
Mailing address
7605 FOREST AVE, SUITE 308, RICHMOND, VA 23229-4938
(804) 288-7077
(804) 285-8120

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
0101055286
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280001028
RAILROAD MEDICARE
01
CF1951
RAILROAD MEDICARE
Enumeration date
11/28/2006
Last updated
12/08/2022
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