Individual
GABRIEL JOHANAN SWINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1830 OWEN DR STE 108, FAYETTEVILLE, NC 28304-3412
(910) 779-0050
(910) 779-0199
Mailing address
PO BOX 64456, FAYETTEVILLE, NC 28306-0456
(910) 779-0050
(910) 779-0199
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HC6304
NC
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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