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Individual

MRS. BRITTANY SMITHSON SWICEGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-5111
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 446-5941
(706) 721-9286

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2991
SC
363AM0700X
Medical Physician Assistant
Primary
8028
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8028
GEORGIA COMPOSITE MEDICAL BOARD FOR PA
GA
Enumeration date
08/23/2016
Last updated
11/22/2022
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