Organization
DR. J. SCOTT GENTRY, O.D., P.C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT GENTRY O.D. (CEO/OWNER)
(423) 926-2642
Entity
Organization
Contact information
Practice address
301 MONTGOMERY ST, JOHNSON CITY, TN 37604-5629
(423) 926-2642
Mailing address
301 MONTGOMERY ST, JOHNSON CITY, TN 37604-5629
(423) 926-2642
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT827
TN
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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