Individual provider · Type 1 NPI
Michaela Henderson Gentle, PA-C
Vascular Surgery Physician · Madison, AL
NPI number
1083470314
Active
Practice location
1041 Balch Rd Ste 375
Madison, AL 35758-8820
Fax (256) 258-9945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 2326 (AL) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
About NPI 1083470314
Michaela Henderson Gentle, PA-C's National Provider Identifier is 1083470314, issued on Feb 23, 2024. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Madison, AL. The record was last updated on Mar 19, 2025.