Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVIN BLAKE VINCENT, PA-C
ActiveGAVIN BLAKE VINCENT, PA-C is a Physician Assistant healthcare provider located in VIENNA, West Virginia. NPI 1134683394 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VIENNA, WV
Registration Details
- NPI Number
- 1134683394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2019 (7.5722856306617 yrs)
- Last Updated
- Oct 18, 2024
- Licenses
-
50.008497RX (OH)2709 (WV)
Practice Information
- Address
-
800 GRAND CENTRAL MALL STE 3VIENNA, WV, 261054100Browse WV providers · Browse ZIP 26105
- Phone
- 3048650555
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in VIENNA, WV
| Name | Credential | NPI |
|---|---|---|
| MEGAN ANN FLUHARTY | PA-C | 1265732093 |
| HEATHER LYNN MOSSBARGER | PA-C | 1194206128 |
| ADRIANA D SEVY | PA-C | 1104670272 |
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.