Individual provider · Type 1 NPI

Meridith Gannon

Student in an Organized Health Care Education/Training Program · Columbia, SC

NPI number 1629959523 Active

Practice location

1300 Wheat St
Columbia, SC 29201-4347

Call (720) 431-3734 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629959523

Meridith Gannon's National Provider Identifier is 1629959523, issued on Sep 9, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on Sep 9, 2025.