Individual
KEVIN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3640 EISENHOWER PKWY, MACON, GA 31206-3676
(770) 946-2453
(478) 294-1866
Mailing address
5869 US HIGHWAY 80 E, KNOXVILLE, GA 31050-2562
(770) 946-2453
(478) 294-1866
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
GA
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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