Individual
THOMAS BRADFORD GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
115 CHERRY ST NE, MARIETTA, GA 30060-7205
(256) 612-8778
Mailing address
6404 ASHTON CIR, MONTGOMERY, AL 36117-4902
(256) 612-8778
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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