Individual
SUE AVERY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2400 BELLEVUE RD STE 22, DUBLIN, GA 31021-2889
(478) 275-4740
Mailing address
1101 HILLCREST PKWY STE L, PMB 214, DUBLIN, GA 31021-3581
(478) 274-8671
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN055565
GA
Other
Enumeration date
05/20/2006
Last updated
05/29/2012
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