Individual
CHET M GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 WILLIAMS ENTERPRISE DR, COOKEVILLE, TN 38506-4280
(931) 528-9222
Mailing address
3300 WILLIAMS ENTERPRISE DR, COOKEVILLE, TN 38506-4280
(931) 528-9222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23607
TN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
23607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068762
—
TN
Enumeration date
10/17/2005
Last updated
06/02/2014
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