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1144517038
GENTRY BROACH TOLBERT
ATHENS, GA
NPI
1144517038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN175489)
Enumeration Date
2011-06-30
Last Update Date
2024-07-03
Business Address
GENTRY BROACH TOLBERT N.P.
1000 HAWTHORNE AVE STE J
ATHENS, GA 30606-2168
Phone number: 706-286-8344
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Mailing Address
GENTRY BROACH TOLBERT N.P.
1500 LANGFORD MEDICAL DRIVE BLDG 200
BOGART, GA 30622
Phone number: 706-208-0451
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