Individual
DR. TRACY SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3300
(704) 295-3468
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3300
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3562
NC
237600000X
Audiologist-Hearing Aid Fitter
825
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163X7
BCBSNC
NC
01
—
30111572
SELECT HEALTH OF SC
SC
01
—
4545571
AENTA
—
01
—
5334830
CIGNA
—
05
—
7413294
—
NC
01
—
7722213
WELLCARE
—
01
—
P01044542
RAILROAD MEDICARE PTAN
NC
05
—
SAN095
—
SC
Enumeration date
03/27/2008
Last updated
10/23/2013
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