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Contact Information

RODDIE R GANTT, MD
201 GOVERNORS DR SW STE 400
HUNTSVILLE, AL35801-5183
 Phone: 256-265-7246
 Fax: 256-265-7017
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for RODDIE R GANTT · (Male)

NPI # 1912996059
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2005
Last updated 04/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AL License # MD.17397
  • AL Medicaid 000077987
Hospital affiliation(s)
  • HUNTSVILLE HOSPITAL - (Acute Care)
    101 SIVLEY RD
    HUNTSVILLE, AL 35801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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