Individual
DR. SANDRA L SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
203B MOCKSVILLE AVE, SALISBURY, NC 28144-3325
(704) 636-0971
(704) 636-8554
Mailing address
PO BOX 2145, 203 B MOCKSVILLE AVENUE, SALISBURY, NC 28145-2145
(704) 636-0971
(704) 636-8554
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
32440
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070013107
RAILROAD MEDICARE
—
01
—
8112B
BCBS
—
05
—
898112B
—
NC
Enumeration date
04/14/2006
Last updated
10/03/2011
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