Individual
JIMMY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
272 BIELBY RD, LAWRENCEBURG, IN 47025-1056
(812) 537-8402
(812) 537-8425
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-5555
(859) 344-5552
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01037561
IN
207X00000X
Orthopaedic Surgery Physician
35-05-3520-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100017200A
—
IN
Enumeration date
04/09/2007
Last updated
11/05/2020
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