SearchGeorgia374700000X

Kevin Gentry

NPI 1699461350 · on the registry since 2023

Practice

Address
3640 Eisenhower Pkwy
Macon, GA 31206
Phone
(770) 946-2453
Fax
(478) 294-1866

Registry record

Primary taxonomy
374700000X
374700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-14

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