Individual
DR. MARTY GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
111 WEST KINGSTON SPRINGS ROAD, SUITE 103, KINGSTON SPRINGS, TN 37082
(615) 952-3690
Mailing address
1209 SHELBY AVE, NASHVILLE, TN 37206-3031
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11668
TN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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