Individual
DR. RAYMOND GLENN GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1915 RANDOLPH RD, CHARLOTTE, NC 28207-1101
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2007-00236
NC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2007-00236
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490473
ANTHEM
IN
01
—
01061742A
LICENSE
IN
05
—
200852490
—
IN
05
—
5907545
—
NC
Enumeration date
07/26/2006
Last updated
10/17/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us