Greggory Theotis Kent, SFIDC
Greggory Theotis Kent, SFIDC is a Military Health Care Provider in Lyons, Georgia. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
223 E Grady AveLyons, GA 30436-1509
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military Health Care Provider (primary) | Taxonomy 171000000X |
|---|
Record details
| NPI number | 1700425568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SFIDC |
| Sole proprietor | Yes |
| NPI enumerated | December 26, 2019 |
| Last updated in NPPES | December 26, 2019 |
| Certification date | December 26, 2019 |