Individual
ELIZABETH CLAIRE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-7760
(704) 355-4231
Mailing address
1100 BLYTHE BLVD, CHARLOTTE, NC 28203-5814
(704) 355-4231
(704) 355-7760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12148
NC
225100000X
Physical Therapist
22392
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093575100
—
MD
Enumeration date
10/18/2007
Last updated
01/10/2012
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