Edward M Gentry CRNA

NPI 1053347005 - Registered Nurse - 163W00000X

NPI Details
NPI 1053347005
Gender Male
Enumeration Date 06/23/2006
Last Updated 01/25/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
CHATTANOOGA TN, 37403-2147, US
Phone (423) 778-7608
Fax (423) 778-2360
Business Location
PO BOX 11225
CHATTANOOGA TN, 37401-2225, US
Phone (423) 892-5602
Fax (423) 892-5838
Taxonomy Code 163W00000X
License State Tennessee
License Number RN115372
Remove 1053347005 NPI Number

According to our database, Edward M Gentry CRNA NPI is 1053347005, taxonomy code is 163W00000X and license number is RN115372, license state is located at Tennessee. Edward M Gentry CRNA physically located at 975 E Third St, Chattanooga TN, 37403-2147. NPI Number Edward M Gentry CRNA has the Individual type.

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1053347005 NPI number is provided on an as is basis without warranty of any kind. 1053347005 is maintained by the National Plan & Provider Enumeration System. The contents of Edward M Gentry CRNA are for informational purposes only.