Individual
TRAVIS JERMAINE SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 S. JACKSON STREET, APT 116, ALBANY, GA 31701
(229) 520-2042
Mailing address
320 S. JACKSON STREET, APT 116, ALBANY, GA 31701
(229) 520-2042
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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