Individual
DR. CARLA FRANKLIN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5229 HIGHWAY 221, ROEBUCK, SC 29376-3305
(864) 576-8193
(864) 576-8952
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13423
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134232
—
SC
01
—
C688786084
MEDICARE PIN
SC
Enumeration date
01/30/2006
Last updated
08/07/2023
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