Individual
MR. MYLES E. SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8210
Mailing address
PO BOX 30821, SAVANNAH, GA 31410-0821
(912) 844-9982
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000219
GA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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