Individual
MR. JERRY DEAN SWINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8401 COMMUNITY ROAD, LITTLE ROCK, AR 72209
(501) 831-0475
Mailing address
8401 COMMUNITY ROAD, LITTLE ROCK, AR 72209
(501) 831-0475
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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