NPI 1063519445

Pickens A. Gantt, MD

Practitioner Reproductive Endocrinology Physician Charleston, WV

Practice location

Address: 830 Pennsylvania Ave Suite 205, Charleston, WV 25302-3302
Phone: (304) 388-2863
Fax: (304) 388-2866
Mailing address: 830 Pennsylvania Ave Suite 205, Charleston, WV 25302

Registered specialties (2)

Reproductive Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VE0102X Licence 22945 (WV)

Other Obstetrics & Gynecology providers in West Virginia →

Specialist

Other Service Providers Taxonomy 174400000X Licence 13100 (TN)

Other Specialist providers in West Virginia →

Registry record

NPI: 1063519445
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 14 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.