Individual
SHAWN N GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1605 NASHVILLE HWY, SUITE 200, COLUMBIA, TN 38401-2071
(931) 540-4210
(931) 380-1202
Mailing address
1605 NASHVILLE HWY, SUITE 200, COLUMBIA, TN 38401-2071
(931) 540-4210
(931) 380-1202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29588
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3107310
BCBSTN
TN
05
—
3710087
—
TN
05
—
3710089
—
TN
05
—
3820281
—
TN
Enumeration date
08/15/2006
Last updated
06/22/2011
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