Organization
SWAIN INTEGRATED SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WHITMAN D.O. (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
45 PLATEAU ST, BRYSON CITY, NC 28713-4200
(828) 488-2155
(828) 488-4039
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199840
—
NC
01
—
510G700575
MEDICARE OF NORTH CAROLINA
NC
Enumeration date
11/17/2016
Last updated
03/23/2022
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