Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PICKENS A. GANTT II, M.D.
ActivePICKENS A. GANTT II, M.D. is a Reproductive Endocrinology healthcare provider located in CHARLESTON, West Virginia. NPI 1063519445 is currently active in the NPPES registry. Verify at CMS.
Reproductive Endocrinology · CHARLESTON, WV
Registration Details
- NPI Number
- 1063519445
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.922365973943 yrs)
- Last Updated
- Dec 14, 2015
- Licenses
-
13100 (TN)22945 (WV)
Practice Information
- Address
-
830 PENNSYLVANIA AVESUITE 205CHARLESTON, WV, 253023302Browse WV providers · Browse ZIP 25302
- Phone
- 3043882863
- Fax
- 3043882866
- Primary Specialty
-
Reproductive Endocrinology
207VE0102X
- Additional Specialty
- Reproductive Endocrinology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.