Individual
JOAN I. SCHWANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
705 GRIFFITH ST, SUITE 100, DAVIDSON, NC 28036-9304
(704) 801-7900
(704) 892-3889
Mailing address
PO BOX 60099, CHARLOTTE, NC 28260-0099
(704) 801-7900
(704) 892-3889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9700746
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689690067
—
NC
05
—
891094R
—
NC
05
—
N00746
—
SC
Enumeration date
07/15/2006
Last updated
12/28/2015
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