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Individual

DR. PETER HYDE SWANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4247 WILMOT AVE, COLUMBIA, SC 29205-2862
(803) 787-0963
Mailing address
4247 WILMOT AVE, COLUMBIA, SC 29205-2862
(803) 787-0963

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11978
SC

Other

Enumeration date
06/10/2008
Last updated
06/10/2008
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