Individual
APRIL BOLTON GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3149 FREEDOM DR, CHARLOTTE, NC 28208-3869
(980) 302-9405
(980) 302-9406
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 510-8000
(704) 510-8006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001003348
NC
363A00000X
Physician Assistant
1362
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909PA
—
SC
05
—
FQC025
—
SC
Enumeration date
11/04/2008
Last updated
04/22/2024
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