Individual
RICHARD R. GENTRY
Active
Individual
RICHARD R. GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119158000
—
WV
01
—
242044
ANTHEM BCBS
VA
01
—
300066638
PGBA (RR MEDICARE)
—
05
—
3065776
—
TN
01
—
50828
BCBS
TN
05
—
64911795
—
KY
05
—
7213361
—
VA
01
—
R07104
JOHN DEERE
TN
Enumeration date
08/09/2005
Last updated
02/22/2019
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