Individual
MISS JACQUELINE CAROL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1720 GUNBARREL ROAD, SUITE 206, CHATTANOOGA, TN 37421
(423) 648-8110
(423) 443-4297
Mailing address
1949 GUNBARREL ROAD, SUITE 230, CHATTANOOGA, TN 37421
(423) 495-4345
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54433
TN
Other
Enumeration date
04/02/2014
Last updated
08/15/2017
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