Individual
LISA SHROUDER SWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 GENTILLY BLVD, CARTERSVILLE, GA 30120-8522
(770) 382-2580
(770) 386-7910
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790754A
—
GA
Enumeration date
12/27/2006
Last updated
05/05/2020
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