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Individual

DR. RYAN DAVID GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2019-00506
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2019-00506
NC
390200000X
Student in an Organized Health Care Education/Training Program
191276
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2013
Last updated
02/24/2021
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