Healthcare Provider Details

I. General information

NPI: 1871428672
Provider Name (Legal Business Name): BRITTANY GATEWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MORGANTOWN AVE
FAIRMONT WV
26554-4388
US

IV. Provider business mailing address

4773 BRANDONVILLE PIKE
TERRA ALTA WV
26764-7069
US

V. Phone/Fax

Practice location:
  • Phone: 304-363-7375
  • Fax: 304-471-2488
Mailing address:
  • Phone: 681-981-0873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: