Individual
AVA M SWAYZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
364 WHITE OAK ST, ASHEBORO, NC 27203-5434
(336) 830-9192
Mailing address
PO BOX 4997, ASHEBORO, NC 27204-4997
(336) 674-3415
(336) 674-3458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200700138
NC
207R00000X
Internal Medicine Physician
L3153
TX
208M00000X
Hospitalist Physician
2007-00138
NC
208M00000X
Hospitalist Physician
DO2633
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146821702
—
TX
01
—
8P6312
BC/BS
TX
01
—
P00186070
RR MEDICARE
TX
Enumeration date
06/30/2006
Last updated
03/03/2022
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