Individual
GENTRY DANIELLE CATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
235 E WASHINGTON AVE, ASHBURN, GA 31714-5224
(229) 484-2300
Mailing address
7011 CONOLY WAY, TIFTON, GA 31794-1952
(229) 392-1342
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN248334
GA
Other
Enumeration date
03/10/2021
Last updated
06/12/2023
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