Individual
JASON CLINT SWANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 PATTON CHAPEL RD STE 101, HOOVER, AL 35216-5783
(205) 876-8988
(205) 679-8440
Mailing address
PO BOX 59449, BIRMINGHAM, AL 35259-9449
(205) 876-8988
(205) 679-8440
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051513887
BLUE CROSS
AL
05
—
051513887
—
AL
05
—
127525
—
AL
01
—
926035
BLOCK VISION
AL
01
—
H63424
HEALTHSPRING OF ALABAMA
AL
Enumeration date
07/20/2006
Last updated
07/22/2024
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