Individual
LACEY A GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
235 PARKS MEMORIAL BUILDING, MILLEDGEVILLE, GA 31061
(478) 445-1076
Mailing address
5112 ACWORTH LANDING DR, ACWORTH, GA 30101-5347
(678) 389-0166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
291392
GA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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