Individual
MR. TERRELL VANCE MCSWAIN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.D.O.
Contact information
Practice address
123 W HENDRY ST, HINESVILLE, GA 31313-3256
(912) 876-7363
(912) 368-7363
Mailing address
123 W HENDRY ST, HINESVILLE, GA 31313-3256
(912) 876-7363
(912) 368-7363
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
00507
GA
Other
Enumeration date
03/21/2007
Last updated
07/09/2007
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