| Larry J Gentry, PA | |
|
1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | |
| (404) 851-8000 | |
| Not Available |
| Full Name | Larry J Gentry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1000 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538113840 | NPI | - | NPPES |
| 10041973 | Other | GA | AMERIGROUP |
| 333479 | Other | GA | WELLCARE |
| 100002611B | Medicaid | GA | |
| 100002611A | Medicaid | GA | |
| 100002611 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001373 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 001373 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry J Gentry, PA Po Box 2968, Kennesaw, GA 30156-9117 Ph: (770) 779-0015 | Larry J Gentry, PA 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 Ph: (404) 851-8000 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 | |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 | |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 | |
Kristen Swain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 | |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 | |
Anh Van Trieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-5437 | |
Cameron R Martin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4473 |