Individual
DR. MARK ROBERT SWANSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1416 E MOREHEAD ST, SUITE 201, CHARLOTTE, NC 28204-2926
(704) 333-0741
(704) 333-3356
Mailing address
1416 E MOREHEAD ST, SUITE 201, CHARLOTTE, NC 28204-2926
(704) 333-0741
(704) 333-3356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22844
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8981140
—
NC
Enumeration date
11/04/2005
Last updated
07/08/2007
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