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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 ID1194779363
PAC ID by PECOS446217905
Professional Enrollment IDI20041216000053
NameSUE A GENTRY
Medical School NameOTHER
Graduation Year1979
Primary SpecialtyCERTIFIED REGISTERED NURSE ANESTHETIST
All secondary specialties
Organization NameSHAMROCK ANESTHESIA LLC
Group Practice PAC ID8224293733
Number of Group Practice members9
Address2400 BELLEVUE RD, , DUBLIN, GA, 310212889
Hospital affiliation LBNFAIRVIEW PARK, LIMITED PARTNERSHIP
Graduation Year1979
Contact Number4782754032
Email Address[Show_Email_ID]

Location On Map