GREGGORY THEOTIS KENT


Address: 223 E Grady Ave, Lyons, GA 30436-1509
Phone: 0000000000

GREGGORY THEOTIS KENT (NPI# 1700425568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700425568
Entity Type Individual
Full Name GREGGORY THEOTIS KENT
Credential SFIDC
Practice Address 223 E Grady Ave
Lyons
GA 30436-1509
Practice Telephone 0000000000
Enumeration Date 2019-12-26
Last Update Date 2019-12-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Office Location

Street Address 223 E GRADY AVE
City LYONS
State GA
Zip Code 30436-1509

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003172388 Nurses Plus, Inc Clinic/Center 262 Johnson Corner Rd, Lyons, GA 30436 2012-04-11
1073818969 Accuquest Hearing Center Hearing Aid Equipment 115 Oxley Drive, Lyons, GA 30436 2011-01-24
1750374336 Catherine W Reavis Nurse Practitioner 110 R T Stanley Sr Pl, Lyons, GA 30436 2005-08-29
1033262829 Kathleen R Dunham-bridges Nurse Practitioner 110 R T Stanley Sr Place, Lyons, GA 30436 2007-01-18
1629009501 Susan F Mclendon Registered Nurse 110 R T Stanley Sr Pl, Lyons, GA 30436 2006-07-06
1457344046 Brandy W Sikes Physician Assistant 110 R T Stanley Sr Pl, Lyons, GA 30436 2005-08-30
1881625457 Hazel E Mead Registered Nurse 714 Nw Broad Street, Lyons, GA 30436-0008 2006-07-05
1649202607 Toombs County Board of Health Public Health or Welfare 714 Nw Broad Street, Lyons, GA 30436-0008 2006-07-07
1831112879 Toombs County Wellness Center Public Health or Welfare 714 Nw Broad Street, Lyons, GA 30436-0308 2006-07-25
1548345036 Donald J Payne Dmd PC Dentist 668 Nw Broad St, Lyons, GA 30436-0899 2006-10-25
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083142947 Integrative Cap Health Practices Military Health Care Provider 770 Old Roswell Pl Ste G400, Roswell, GA 30076-8635 2017-05-23
1972037323 Alicia Anderson Military Health Care Provider 621 Mcgruder St. Ne, Atlanta, GA 30312 2017-04-12
1508227141 Compassion Community PCh LLC Military Health Care Provider 1942 Appling Harlem Rd, Appling, GA 30802-3723 2016-03-09
1982063749 Mallori Tittle Military Health Care Provider 6254 Warm Springs Rd Apt G6, Columbus, GA 31909-9152 2016-02-22
1902243876 Victor D Parker IIi Military Health Care Provider 78th Medical Group Sghc, 655 Seventh Street, Robins Afb, GA 31098 2013-05-31
1235575325 Gerardo Julian Soracco Military Health Care Provider 4415 Northside Chase Nw, Atlanta, GA 30327-3567 2013-05-15
1790023406 Donna Sue Muller Military Health Care Provider 2715 Cosmos Dr Ne, Atlanta, GA 30345-1307 2013-01-30
1316298144 Sandra Diane Tyree Military Health Care Provider 6490 Clyattstone Rd, Hahira, GA 31632-3112 2012-09-19
1558643536 Eleanor S. Lee Military Health Care Provider 4211 Misty Morning Way, #2319, Gainesville, GA 30506-4347 2011-09-15
1073754891 James Mercer Archer Military Health Care Provider 2450 Ruger Dr Ne, Marietta, GA 30066-1422 2009-03-09
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Competitor

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City LYONS
Zip Code 30436

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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