NPI 1104906775
Tina C Gentry, LPN
Practice location
- Address
- 510 Cumberland St Executive Plaza 4th Fl, Bristol, VA 24201
- Phone
- (276) 645-4758
- Fax
- (276) 669-9093
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1104906775
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Oct 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.