Individual
BARRY CHANCE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5516 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5629
(757) 473-3969
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(757) 393-1136
(757) 446-5196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101263905
VA
Other
Enumeration date
01/29/2006
Last updated
05/18/2021
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