Individual
GREGORY GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 E RICH ST, COLUMBUS, OH 43205-2131
(234) 571-6054
Mailing address
1555 E RICH ST, COLUMBUS, OH 43205-2131
(234) 571-6054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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