Greggory Theotis Kent, SFIDC

NPI #1700425568 in Lyons, Georgia

Provider Information

NPI Number
1700425568
Entity Type
Individual
Name
Greggory Theotis Kent, SFIDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider
Credential
SFIDC
Enumeration Date
Dec 26, 2019
Last Updated
Dec 26, 2019

Practice Location

Address
223 E GRADY AVE
City
Lyons
State
Georgia
ZIP Code
30436-1509
Phone
(000) 000-0000

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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