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Andre Gentry, CSA
NPI 1164715801 · on the registry since 2011 · sole proprietor
Practice
- Address
- 217 Brookhaven Ct
Acworth, GA 30102 - Phone
- (770) 985-4257
- Fax
- (770) 985-4258
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia