Organization
TINA G. GAUNT, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA G. GAUNT MD (OWNER)
(606) 437-5425
Entity
Organization
Contact information
Practice address
1098 S MAYO TRL, STE 303, PIKEVILLE, KY 41501-1546
(606) 437-5425
(606) 437-5427
Mailing address
151 N EAGLE CREEK DR, STE 12, LEXINGTON, KY 40509-1889
(606) 437-5425
(606) 437-5427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64-047434
—
KY
Enumeration date
08/10/2006
Last updated
01/22/2008
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