Organization
J B GENTRY MD PA
Active
Other names
J B Gentry MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J B GENTRY MD PA (PHYSICIAN)
(980) 487-3151
Entity
Organization
Contact information
Practice address
706 W KING ST, KINGS MOUNTAIN, NC 28086-2708
(980) 487-3151
(980) 487-3689
Mailing address
PO BOX 577, KINGS MOUNTAIN, NC 28086-0577
(980) 487-3151
(980) 487-3689
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
11/08/2011
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