Doctor Name: | MR. DAVID RANDOLPH SWANN |
NPI Number: | 1144407628 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | 424 |
Business Practice Address: | 118 Stratford Pl Dobson, NC - 270178501 |
Business Phone Number: | 3363869801 |
Business Fax Number: | |
Mailing Address: | 118 Stratford Pl, DOBSON |
State: | NC |
Postal Code: | 270178501 |
Phone Number: | 3363869801 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2008 |
NPI Last Update Date: | 01/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 424 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |