Individual
GWYNN D SWALLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 DESALES AVENUE, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Mailing address
725 GLENWOOD DRIVE,, SUITE E-487, CHATTANOOGA, TN 37404
(423) 697-0014
(423) 648-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA0407
TN
363LA2100X
Acute Care Nurse Practitioner
PA00407
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189041088B
—
GA
Enumeration date
06/30/2006
Last updated
11/18/2011
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