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Individual

DR. RANDALL ALAN SWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304-1848
(304) 925-4777
(304) 925-4780
Mailing address
415 MORRIS ST, SUITE 304, CHARLESTON, WV 25301-1842
(304) 388-7783
(304) 388-7788

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16120
WV
207Q00000X
Family Medicine Physician
Primary
16120
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0042952-000
WV
05
0042952000
WV
01
P00058528
RAILROAD MEDICARE
Enumeration date
04/14/2006
Last updated
01/30/2026
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