Individual
DR. CHARLES EVERETT SWANSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7686
(662) 293-4743
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-7686
(662) 293-4743
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22205
MS
207R00000X
Internal Medicine Physician
T-2279
MS
Other
Enumeration date
01/24/2012
Last updated
11/22/2016
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