Individual
MARCUS EUGENE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 629-8807
Mailing address
853 WELLINGTON PL, ASHEBORO, NC 27205-2132
(336) 301-3240
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008-00323
NC
207P00000X
Emergency Medicine Physician
36116439
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
200800323
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-00323
NC STATE MEDICAL LICENSE
NC
01
—
36116439
IL STATE MEDICAL LICENSE
IL
Enumeration date
08/10/2007
Last updated
01/26/2023
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