Individual
MARY ALISE SWANTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
280 HERITAGE WALK STE 300, WOODSTOCK, GA 30188-3838
(770) 726-8948
Mailing address
280 HERITAGE WALK STE 300, WOODSTOCK, GA 30188-3838
(770) 726-8948
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004198
GA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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