Doctor Name: | DR. JOHN HOWARD SWICORD |
NPI Number: | 1558501940 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 20-06714 |
Business Practice Address: | 1020 Old Highway 52 Moncks Corner, SC - 294613002 |
Business Phone Number: | 8437618167 |
Business Fax Number: | |
Mailing Address: | Po Box 907, MONCKS CORNER |
State: | SC |
Postal Code: | 294610907 |
Phone Number: | 8437618167 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20-06714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |