Gentry, Miriam F
Gentry, Miriam F is an sole proprietor health care provider with primary practice located at 822 Industrial Blvd , Ellijay GA 30540-3804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gentry, Miriam F can be contacted via phone (706) 698-7400.Contact Information
Primary practice address
822 Industrial Blvd
Ellijay GA 30540-3804
Phone: (706) 698-7400
Fax: (706) 698-7401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 010925 | Georgia |
Profile Details
| NPI number | 1184708810 |
|---|---|
| LBN Legal business name | Gentry, Miriam F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Sep 19th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184708810 | NPPES |
| Georgia | MEDICAID | 000064743S |
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