All Medicaid billing entities listing GENTRY, SHAWN (COO) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Tennessee | 1 | $292.01 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | NORTHSIDE MEDICAL PROFESSIONALS, P.C. | COLUMBIA, TN | Pediatrics Physician | $292.01 |