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Individual

MRS. TERESA HOLT GENTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.CCC-A

Contact information

Practice address
2365 OLD MILTON PKWY, STE 300, ALPHARETTA, GA 30009-2140
(770) 740-1860
(678) 347-2104
Mailing address
925 N POINT PKWY, STE 130, ALPHARETTA, GA 30005-5210
(678) 206-2589
(678) 261-1713

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003286
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139558
GA
Enumeration date
12/27/2006
Last updated
01/27/2017
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