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SUE A GENTRY
2400 BELLEVUE RD DUBLIN GA 310212889
SUE A GENTRY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1194779363. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 446217905. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is SHAMROCK ANESTHESIA LLC. The address is 2400 BELLEVUE RD, , DUBLIN, GA, 310212889. The zip code is 310212889.
|Nation Provider ID||1194779363|
|PAC ID by PECOS||446217905|
|Professional Enrollment ID||I20041216000053|
|Name||SUE A GENTRY|
|Medical School Name||OTHER|
|Primary Specialty||CERTIFIED REGISTERED NURSE ANESTHETIST|
|All secondary specialties|
|Organization Name||SHAMROCK ANESTHESIA LLC|
|Group Practice PAC ID||8224293733|
|Number of Group Practice members||9|
|Address||2400 BELLEVUE RD, , DUBLIN, GA, 310212889|
|Hospital affiliation LBN||FAIRVIEW PARK, LIMITED PARTNERSHIP|