Individual
KAREN ODELL GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5100
(706) 270-5066
Mailing address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5100
(706) 270-5066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN042495
GA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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