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
Fax: (770) 985-4258
Website:

Health care specialties

SpecialtyCodeLicense #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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