Individual
NATHAN LOWELL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5500 FRONT ST STE 240, SUMMERVILLE, SC 29486-8140
(854) 220-9995
(854) 220-0054
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(854) 220-9995
(854) 220-0054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
82143
SC
Other
Enumeration date
04/29/2019
Last updated
12/03/2024
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