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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
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