Individual
THERESA ANDERSON-SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT, CCSH
Contact information
Practice address
3702 THREE NOTCH RD, RINGGOLD, GA 30736-3439
(423) 504-7977
Mailing address
3702 THREE NOTCH RD, RINGGOLD, GA 30736-3439
(423) 504-7977
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22106189
CONTROL NUMBER
GA
Enumeration date
09/08/2022
Last updated
09/08/2022
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