Gentry, Andre
Gentry, Andre is an sole proprietor health care provider with primary practice located at 217 Brookhaven Ct , Acworth GA 30102-2190. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gentry, Andre can be contacted via phone (770) 985-4257.Contact Information
Primary practice address
217 Brookhaven Ct
Acworth GA 30102-2190
Phone: (770) 985-4257
Fax: (770) 985-4258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2970 | Georgia |
Profile Details
| NPI number | 1164715801 |
|---|---|
| LBN Legal business name | Gentry, Andre |
| Credentials | CSA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2011 |
| Last updated | May 26th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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