Individual
MR. ALTON W PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
437 PARK AVE, SUITE A, LEBANON, TN 37087
(615) 444-5102
(615) 443-7390
Mailing address
437 PARK AVE, SUITE A, LEBANON, TN 37087
(615) 444-5102
(615) 443-7390
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8162
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000703
BCBST
—
01
—
2003231
BCS T
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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