Individual
DR. BRANDON MICHAEL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 380-4072
Mailing address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 380-4072
(931) 490-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59024
TN
208000000X
Pediatrics Physician
59024
TN
Other
Enumeration date
04/07/2015
Last updated
10/03/2022
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