Individual
MR. THOMAS HARRISON GENTRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
110 FIELDCREST DR, JACKSONVILLE, NC 28546-9673
(910) 450-8054
(910) 450-8053
Mailing address
110 FIELDCREST DR, JACKSONVILLE, NC 28546-9673
(910) 450-8054
(910) 450-8053
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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