Gentry, William Rayburn

Gentry, William Rayburn is an sole proprietor health care provider with primary practice located at 1922 Exeter Rd Suite 7, Germantown TN 38138-2949. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gentry, William Rayburn can be contacted via phone (901) 754-9688.

Contact Information

Primary practice address
1922 Exeter Rd Suite 7 Germantown TN 38138-2949
Phone: (901) 754-9688
Fax: (901) 754-8630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X P636 Tennessee

Profile Details

NPI number 1003839887
LBN Legal business name Gentry, William Rayburn
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Dec 8th, 2016 - about 10 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 1003839887 NPPES
Tennessee MEDICAID 3684912
Tennessee MEDICAID 3984947

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