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Pickens A. Gantt II, MD
Reproductive Endocrinology Physician in Charleston, West Virginia
NPI 1063519445

Pickens A. Gantt II is a Reproductive Endocrinology Physician based in Charleston, WV and is specialized in Reproductive Endocrinology. Pickens A. Gantt II practices in Charleston, WV and has the professional credentials of MD. The NPI Number for Pickens A. Gantt II is 1063519445 and holds a License No. 13100 (West Virginia).

The current practice location address for Pickens A. Gantt II is 830 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 304-388-2863 and via fax at 304-388-2866.

Location: 830 Pennsylvania Ave, Charleston, WV, 25302
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Provider Profile Details
NPI Number
1063519445
Provider Name
Pickens A. Gantt II
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
830 Pennsylvania Ave, Charleston, WV, 25302
Phone Number
304-388-2863
Fax Number
304-388-2866
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810010685 05 WV
institution
Provider Business Practice Location Address Details
Address
830 Pennsylvania Ave
City
State
Zip
25302-3302
Phone Number
304-388-2863
Fax Number
304-388-2866
person
Provider Business Mailing Address Details
Address
830 Pennsylvania Ave
City
State
Zip
25302-3302
Phone Number
304-388-2863
Fax Number
304-388-2866
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
22945 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Reproductive Endocrinology
Taxonomy
License No.
13100 (Tennessee)
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
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