Individual
GREGORY WILLIAM GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 MASSIE RD, CHARLOTTESVILLE, VA 22903-1767
(434) 982-5100
Mailing address
290 MASSIE RD, CHARLOTTESVILLE, VA 22903-1767
(434) 982-5100
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002981
VA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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