Individual
MINDY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3747 ROSWELL RD, MARIETTA, GA 30062-6234
(770) 424-6893
(770) 528-9938
Mailing address
3747 ROSWELL RD STE 213, MARIETTA, GA 30062-6227
(770) 321-3490
(770) 321-3489
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
052938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684400083I
—
GA
05
—
684400083J
—
GA
05
—
684400083K
—
GA
Enumeration date
02/13/2007
Last updated
10/14/2019
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