LARRY J GENTRY

ATLANTA, GA
NPI1538113840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  001373)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: GA  001373)
Enumeration Date2006-05-20
Last Update Date2008-11-13
Business Address
-- LARRY J GENTRY PA
1000 JOHNSON FERRY RD NE
ATLANTA, GA 30342-1606
Phone number: 404-851-8000
Mailing Address
-- LARRY J GENTRY PA
PO BOX 2968
KENNESAW, GA 30156-9117
Phone number: 770-779-0015