Individual
MARY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 5TH ST NE, ALICEVILLE, AL 35442-2200
(205) 373-1574
Mailing address
100 5TH ST NE, ALICEVILLE, AL 35442-2200
(205) 373-1574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-109137
AL
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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