Individual
CHAD R SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE B224, HENDERSONVILLE, TN 37075-2379
(615) 206-1700
(615) 590-7268
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE B224, HENDERSONVILLE, TN 37075-2379
(615) 206-1700
(615) 590-7268
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40052
TN
2086S0129X
Vascular Surgery Physician
40052
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD0000040052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10071053
AMERIGROUP COMMUNITY CARE
TN
05
—
1514851
—
TN
05
—
3333844
—
TN
01
—
4108377
BCBS
TN
01
—
4235262
BCBS OF TN
TN
01
—
64130941
KY MEDICAID
KY
01
—
7654686
AETNA
TN
01
—
P00294160
RAILROAD MEDICARE
TN
01
—
TN0103
AMERICHOICE
TN
Enumeration date
08/17/2005
Last updated
01/03/2019
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