Gentry, Shawn N

Gentry, Shawn N is an individual health care provider with primary practice located at 1605 Nashville Hwy Suite 200, Columbia TN 38401-2071. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gentry, Shawn N can be contacted via phone (931) 540-4210.

Contact Information

Primary practice address
1605 Nashville Hwy Suite 200 Columbia TN 38401-2071
Fax: (931) 380-1202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29588 Tennessee

Profile Details

NPI number 1891708012
LBN Legal business name Gentry, Shawn N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jun 22nd, 2011 - about 13 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 1891708012 NPPES
Tennessee Other 3107310 BCBSTN
Tennessee MEDICAID 3710087 BCBSTN
Tennessee MEDICAID 3820281 BCBSTN
Tennessee MEDICAID 3710089 BCBSTN

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