Individual
SUZANNE RENEE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5454
(843) 522-5101
Mailing address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50.008185RX
OH
363A00000X
Physician Assistant
Primary
50.008185RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2022
Last updated
03/11/2025
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