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1770147332
NATHAN LOWELL GENTRY
SUMMERVILLE, SC
NPI
1770147332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 82143)
Enumeration Date
2019-04-29
Last Update Date
2023-09-28
Business Address
NATHAN LOWELL GENTRY DO
5500 FRONT ST STE 240
SUMMERVILLE, SC 29486-8140
Phone number: 854-220-9995
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Mailing Address
NATHAN LOWELL GENTRY DO
PO BOX 530062
ATLANTA, GA 30353-0062
Phone number: 854-220-9995
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