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Organization

SWIFT FAMILY PRACTICE

Active
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Organization

SWIFT FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA COPELAND (CREDENTIALING COORDINATOR)
(770) 778-2994
Entity
Organization

Contact information

Practice address
5185 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-3244
(404) 763-9300
Mailing address
5185 OLD NATIONAL HWY, COLLEGE PARK, GA 30349-3244
(404) 763-9300

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
63084
GA
207Q00000X
Family Medicine Physician
Primary
63084
GA
207R00000X
Internal Medicine Physician
63084
GA

Other

Enumeration date
04/07/2016
Last updated
04/07/2016
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