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Organization
SWANNANOA VALLEY FAMILY MEDICINE
Active
Organization
SWANNANOA VALLEY FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEY WOOD KELLY M.D. (PRESIDENT)
(828) 686-5232
Entity
Organization
Contact information
Practice address
2296 US 70 HWY, SWANNANOA, NC 28778-8209
(828) 686-5232
(828) 686-7269
Mailing address
2296 US 70 HWY, SWANNANOA, NC 28778-8209
(828) 686-5232
(828) 686-7269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24779
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0170087
UNITED HEALTH CARE
NC
01
—
152692
MID SOUTH
NC
01
—
210331
CIGNA
NC
01
—
48212 01649
BCBS
NC
05
—
8948212
—
NC
Enumeration date
01/17/2007
Last updated
01/26/2010
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