Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGGORY THEOTIS KENT, SFIDC
Active Sole ProprietorGREGGORY THEOTIS KENT, SFIDC is a Military Health Care Provider healthcare provider located in LYONS, Georgia. NPI 1700425568 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · LYONS, GA
Registration Details
- NPI Number
- 1700425568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 26, 2019 (6.6662897819329 yrs)
- Last Updated
- Dec 26, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
223 E GRADY AVELYONS, GA, 304361509Browse GA providers · Browse ZIP 30436
- Phone
- 0000000000
- Primary Specialty
-
Military Health Care Provider
171000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.