Individual
MARY KATHERINE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5641 POPLAR TENT RD, STE 101, CONCORD, NC 28027-7533
(704) 782-1955
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008-01689
NC
208D00000X
General Practice Physician
2008-01689
NC
Other
Enumeration date
07/05/2007
Last updated
07/15/2024
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