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Individual

COURTNEY CAROLINE SWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1280 INDIAN MOUND TRL, VERO BEACH, FL 32963-2345
(772) 643-6694

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
97462
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/03/2020
Last updated
06/13/2024
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