Organization
SEMINOLE HMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization
Contact information
Practice address
2401 W WRANGLER BLVD, SEMINOLE, OK 74868-1917
(405) 303-4611
(405) 303-4177
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 778-8532
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
08/15/2017
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