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Organization
WILLIAM SWOFFORD MD PC
Active
Organization
WILLIAM SWOFFORD MD PC
Active
Other names
Colquitt Complete Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM F SWOFFORD M.D. (OWNER)
(229) 758-3002
Entity
Organization
Contact information
Practice address
210 W MAIN ST STE 4, COLQUITT, GA 39837-3434
(229) 758-3002
(229) 758-9415
Mailing address
210 W MAIN ST STE 4, COLQUITT, GA 39837-3434
(229) 758-3002
(229) 758-9415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046262
GA
363LF0000X
Family Nurse Practitioner
RN132537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00815515C
—
GA
Enumeration date
08/27/2010
Last updated
08/27/2010
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