Individual
ELAINE GRAMMER-PACICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7800 PROVIDENCE RD, SUITE 203, CHARLOTTE, NC 28226-2952
(704) 512-2610
(704) 543-6773
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(704) 512-2610
(704) 543-6773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9500598
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007475
AETNA
NC
01
—
64740
BCBS
NC
05
—
8964740
—
NC
05
—
N00598
—
SC
Enumeration date
07/01/2006
Last updated
06/21/2013
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