Individual
MR. JOHN M. GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
141 PIEDMONT AVE NE STE D, ATLANTA, GA 30303-2417
(404) 413-1930
(404) 413-1953
Mailing address
141 PIEDMONT AVE NE STE D, ATLANTA, GA 30303-2417
(404) 413-1930
(404) 413-1953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN089319
GA
Other
Enumeration date
10/21/2008
Last updated
01/31/2012
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