Individual
LISA ANN SWOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
103 W PINE ST, COLQUITT, GA 39837-3526
(229) 758-3002
(229) 758-9415
Mailing address
112 N CUTHBERT ST, COLQUITT, GA 39837-3419
(229) 758-3002
(229) 758-9415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN132537NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913150787A
—
GA
Enumeration date
05/18/2006
Last updated
10/13/2025
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