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Individual

DR. MARK GREGORY SWEDENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 OLD SMITHFIELD RD, GOLDSBORO, NC 27530-8464
(919) 581-4660
Mailing address
218 WALNUT CREEK DR, GOLDSBORO, NC 27534-8980
(919) 751-2086

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200200290
NC
2083A0100X
Aerospace Medicine Physician
Primary
200200290
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3406028
NC
Enumeration date
11/29/2006
Last updated
01/22/2016
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