Individual
DR. KAY S ENTREKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
755 COMMERCE DR STE 301, DECATUR, GA 30030-2627
(404) 294-0472
(404) 294-1558
Mailing address
755 COMMERCE DR STE 301, DECATUR, GA 30030-2627
(404) 294-0472
(404) 294-1558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042817
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000759613E
—
GA
05
—
000759613F
—
GA
01
—
0700351
UNITED HEALTHCARE
GA
01
—
0836556
AETNA/USHC
GA
01
—
160046628
RAILROAD MEDICARE
GA
01
—
618183
BLUE CROSS BLUE SHIELD
GA
Enumeration date
05/20/2006
Last updated
04/21/2023
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