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Individual

DR. VISWANATHAN SWAMINATHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,DFAPA

Contact information

Practice address
804.WASHINGTON STREET, VIDANT BEHAVIOUR HEALTH,, PLYMOUTHY, NC 27962
(252) 793-1154
(252) 793-3860
Mailing address
719.WEST 15TH. STREET ,SUITE-11, EASTCOAST PSYCHIATRIC SERVICES, WASHINGTON, NC 27889
(252) 974-1331
(252) 974-1164

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22636
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22636
MEDICAL LICENSE AS A PHYS
NC
05
8981128
NC
Enumeration date
07/12/2006
Last updated
01/11/2022
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