Individual
JONATHAN R. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-2335
(434) 982-0796
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101249823
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116014855
VA
Other
Enumeration date
05/10/2007
Last updated
10/12/2020
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