IndividualActive
Greggory Kent, SFIDC
NPI 1700425568 · Military Health Care Provider · Lyons, GA
Provider details
- NPI number
- 1700425568
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- SFIDC
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
223 E Grady Ave
Lyons, GA 30436-1509
Registry dates
- Enumerated
- 2019-12-26
- Last updated
- 2019-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.