Individual
EDWARD M GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
975 E THIRD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN115372
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11903
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934009
—
AL
05
—
3636536
—
TN
01
—
4149508
BLUE CROSS BLUE SHIELD TN
TN
05
—
737781030A
—
GA
01
—
N372835
WELLCARE (GA MEDICAID)
GA
01
—
P00316931
RAILROAD MEDICARE
TN
Enumeration date
06/23/2006
Last updated
01/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us