Individual
ANGELA DENISE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3405 DALLAS HWY SW STE 300, MARIETTA, GA 30064-6426
(770) 425-5331
(770) 425-0799
Mailing address
3405 DALLAS HWY SW STE 300, MARIETTA, GA 30064-6426
(770) 425-5331
(770) 425-0799
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
124349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944853F
—
GA
05
—
000944853J
—
GA
Enumeration date
01/08/2007
Last updated
03/03/2014
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