Individual
CAROL SCHWANEBECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
350 CROSSGATES BLVD, BRANDON, MS 39042-2601
(601) 679-1665
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(601) 679-1665
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R526428
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118844
—
MS
Enumeration date
05/10/2006
Last updated
07/08/2007
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