Preston Gantt, Md, Sa-c
Preston Gantt, Md, Sa-c is a health care provider in Colbert, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 191 Valley Rd, Colbert, GA 30628, US |
|Practice Location Phone||770-580-4929|
|Practice Location Fax|
|Legal Business Name||PRESTON GANTT, MD, SA-C|
|Enumeration Date ? ||Jul 5, 2018|
|Last Update Date ? ||Jul 9, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Preston Gantt, Md, Sa-c
|Specialty||Provider Type||Specialization||License||License State|
|Point of Service||Managed Care Organizations|| |
Legacy Provider IDs of Preston Gantt, Md, Sa-c
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Preston Gantt, Md, Sa-c
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Preston Gantt, Md, Sa-c's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Dr. Preston Gantt (MD, SA-C)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||770-580-4929|