Individual
MRS. SUSAN M SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.AUD., CCC-A
Contact information
Practice address
1402 ALICE ST, WAYCROSS, GA 31501-4529
(128) 164-1539
Mailing address
1402 ALICE ST, WAYCROSS, GA 31501-4529
(912) 816-4153
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000690885E
—
GA
Enumeration date
08/02/2005
Last updated
08/14/2019
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