Organization
SWIFT CREEK CHILDREN'S HEALTHCARE CORPORATION
Active
Other names
Swift Creek Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA K CANTOR MD (PRESIDENT)
(804) 378-4420
Entity
Organization
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE 501, MIDLOTHIAN, VA 23114-3222
(804) 378-4420
(804) 378-4440
Mailing address
13700 ST FRANCIS BLVD, SUITE 501, MIDLOTHIAN, VA 23114-3222
(804) 378-4420
(804) 378-4440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417906801
DR. BANTLE NPI
VA
01
—
1700855624
DR. CANTOR NPI
VA
01
—
C09185
MEDICARE GROUP NUMBER
—
Enumeration date
03/21/2006
Last updated
02/19/2014
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