Individual
MR. STANLEY RAY GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 KENNESAW AVE NW STE 4, MARIETTA, GA 30060-1095
(714) 482-5472
Mailing address
898 CREW ST SW, ATLANTA, GA 30315-1541
(770) 301-4061
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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