Individual
BOBBY G GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
512 CHERRY ST, BLDG. I, BLUEFIELD, WV 24701
(304) 324-2725
(304) 324-2780
Mailing address
P.O. BOX 1696, BLUEFIELD, WV 24701
(304) 324-2725
(304) 324-2780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74022
WV
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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