Individual
MRS. CARRIE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
6450 RIVERS AVE, NORTH CHARLESTON, SC 29406-4882
(843) 818-5100
Mailing address
22 ETON RD, CHARLESTON, SC 29407-3309
(864) 506-0121
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
587
SC
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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