Individual
MRS. MICHAELA HENDERSON GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1041 BALCH RD STE 375, MADISON, AL 35758-8820
(256) 258-9940
(256) 258-9945
Mailing address
1041 BALCH RD STE 375, MADISON, AL 35758-8820
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
2326
AL
Other
Enumeration date
02/23/2024
Last updated
03/19/2025
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