IndividualActive
Thomas Gentry, IDC
NPI 1194932673 · Independent Duty Medical Technicians · Jacksonville, NC
Provider details
- NPI number
- 1194932673
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
110 Fieldcrest Dr
Jacksonville, NC 28546-9673
Phone: (910) 450-8054
Fax: (910) 450-8053
Approximate (ZIP-level) locationGet directions
Mailing address
110 Fieldcrest Dr
Jacksonville, NC 28546-9673
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.