Organization Name: | WILLIAM SWOFFORD MD PC |
NPI Number: | 1609182765 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM F SWOFFORD (OWNER) |
Mailing Address: | 210 W Main St Ste 4 Colquitt |
State: | GA US |
Postal Code: | 398373434 |
Phone Number: | 2297583002 |
Fax Number: | 2297589415 |
NPI Enumeration Date: | 08/27/2010 |
NPI Last Update Date: | 08/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN132537 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |