Organization
JAMES H. GENTRY, JR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HOWARD GENTRY JR. M.D. (OWNER)
(205) 373-2229
Entity
Organization
Contact information
Practice address
1400 CARROLLTON RD STE B, ALICEVILLE, AL 35442-1824
(205) 373-2229
(205) 373-3779
Mailing address
1400 CARROLLTON RD STE B, ALICEVILLE, AL 35442-1824
(205) 373-2229
(205) 373-3779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9753
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51014623
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
06/07/2007
Last updated
08/22/2020
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