IndividualActive
Andre Gentry, CSA
NPI 1164715801 · Surgery Physician · Acworth, GA
Provider details
- NPI number
- 1164715801
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2970 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
217 Brookhaven Ct
Acworth, GA 30102-2190
Phone: (770) 985-4257
Fax: (770) 985-4258
Approximate (ZIP-level) locationGet directions
Mailing address
217 Brookhaven Ct
Acworth, GA 30102-2190
Registry dates
- Enumerated
- 2011-05-26
- Last updated
- 2011-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.