Individual
MISS SUSAN RANAE SWATSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310
Mailing address
1575 WASHINGTON ST, WATERTOWN, NY 13601-9371
(315) 786-7300
(315) 786-7310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016504
NY
363AM0700X
Medical Physician Assistant
101592
NC
363AM0700X
Medical Physician Assistant
A354
SC
Other
Enumeration date
08/12/2006
Last updated
03/23/2020
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