Individual
GINA HALL KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
1740 VALLEY FORGE DR, HIXSON, TN 37343-3468
(423) 595-9512
Mailing address
1740 VALLEY FORGE DR, HIXSON, TN 37343-3468
(423) 595-9512
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
10325
TN
1835G0303X
Geriatric Pharmacist
10360
NC
1835G0303X
Geriatric Pharmacist
20341
GA
1835G0303X
Geriatric Pharmacist
22422
FL
1835G0303X
Geriatric Pharmacist
5606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10325
TENNESSEE BOARD OF PHARMACY
TN
01
—
10360
NC BOARD OF PHARMACY
NC
01
—
20341
GEORGIA BOARD OF PHARMACY
GA
01
—
22422
FLORIDA BOARD OF PHARMACY
FL
01
—
5606
SOUTH CAROLINA BOARD OF PHARMACY
SC
Enumeration date
06/16/2020
Last updated
06/16/2020
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