Individual
ELIZABETH BANOWSKY SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 SPARROW CT, COLUMBUS, GA 31909-5006
(706) 536-9731
Mailing address
2522 SPARROW CT, COLUMBUS, GA 31909-5006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005165
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000941355A
—
GA
05
—
000941355B
—
GA
Enumeration date
02/27/2007
Last updated
09/01/2011
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