person
Ryan James Gillentine, DO
Student in an Organized Health Care Education/Training Program in Tupelo, Mississippi
NPI 1700520822

Ryan James Gillentine is a Student in an Organized Health Care Education/Training Program based in Belden, MS. Ryan James Gillentine practices in Tupelo, MS and has the professional credentials of DO. The NPI Number for Ryan James Gillentine is 1700520822 and holds a License No. (Mississippi).

The current practice location address for Ryan James Gillentine is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-3000.

Location: 830 S Gloster St, Tupelo, MS, 38826-7018
person
Provider Profile Details
NPI Number
1700520822
Provider Name
Ryan James Gillentine
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
830 S Gloster St, Tupelo, MS, 38826-7018
Phone Number
662-377-3000
Fax Number
Provider Enumeration Date
04/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-3000
Fax Number
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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