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Individual
GWYNN D SWALLOWS
Active
Individual
GWYNN D SWALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA0407
TN
363LA2100X
Acute Care Nurse Practitioner
PA00407
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189041088B
—
GA
Enumeration date
06/30/2006
Last updated
11/18/2011
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