Individual
DARRIS ALLEN GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3203 GLENWOOD RD STE D, DECATUR, GA 30032-3200
(404) 284-1154
(404) 284-0734
Mailing address
PO BOX 69, JONESBORO, GA 30237-0069
(770) 981-5577
(770) 981-1407
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006111
GA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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