Pickens A. Gantt II
Reproductive Endocrinologist
830 Pennsylvania Ave Suite 205
Charleston
, West Virginia 25302-3302
Pickens A. Gantt II
Reproductive Endocrinologist
830 Pennsylvania Ave Suite 205
Charleston
, West Virginia 25302-3302
(304) 388-2866
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Pickens A. Gantt II
- 830 Pennsylvania Ave Suite 205
- Charleston, WV
- Zip : 25302
- Fax : (304) 388-2866
- Phone : (304) 388-2863
Second Address
- Pickens A. Gantt II
- 830 Pennsylvania Ave Suite 205
- Charleston, WV
- Zip : 25302-3302
- Fax : (304) 388-2866
- Phone : (304) 388-2863
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 22945 | WV |
National Provider Identifier
| NPI | 1063519445 |
|---|---|
| Provider Name | Pickens A. Gantt II |
| First Address | Charleston, WV 25302 |
| Second Address | Charleston, WV 25302-3302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 14/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3810010685 | (05) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.