Gentry, Mindy

Gentry, Mindy is an individual health care provider with primary practice located at 3747 Roswell Rd , Marietta GA 30062-6234. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Gentry, Mindy can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
3747 Roswell Rd Marietta GA 30062-6234
Phone: (770) 424-6893
Fax: (770) 528-9938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 052938 Georgia

Profile Details

NPI number 1457493918
LBN Legal business name Gentry, Mindy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Oct 14th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457493918 NPPES
Georgia MEDICAID 684400083K
Georgia MEDICAID 684400083I
Georgia MEDICAID 684400083J

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