Individual
DARLA KAY GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
626 ELK ST, GASSAWAY, WV 26624-1136
(304) 364-2401
(304) 364-2441
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20290
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840683000
—
WV
Enumeration date
09/16/2006
Last updated
04/06/2022
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