F.m.a., P.a.
NPI #1053426353 in Clemson, South Carolina
Provider Information
- NPI Number
- 1053426353
- Entity Type
- Organization
- Organization Name
- F.m.a., P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Aug 8, 2012
Practice Location
- Address
- 522 COLLEGE AVE
- Address 2
- SUITE 1
- City
- Clemson
- State
- South Carolina
- ZIP Code
- 29631-1443
- Phone
- (864) 654-7841
Authorized Official
- Name
- DR. WARREN DOUGLAS GENTRY, M.D.
- Title
- PRESIDENT
- Phone
- (864) 654-7841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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