Individual
ELAINE B GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 EXECUTIVE CENTER DR STE 120, COLUMBIA, SC 29210-8412
(803) 896-9789
(803) 896-8279
Mailing address
101 EXECUTIVE CENTER DR STE 120, COLUMBIA, SC 29210-8412
(803) 896-9789
(803) 896-8279
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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