Individual
DR. RALPH WADE SWANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 SHRINE ROAD, BRUNSWICK, GA 31520
(912) 267-1960
(912) 267-1982
Mailing address
3215 SHRINE ROAD, BRUNSWICK, GA 31520
(912) 267-1960
(912) 267-1982
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
GA21055
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00216664A
—
GA
Enumeration date
12/01/2006
Last updated
08/30/2010
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