Individual
DR. JAWAHAR SWAMINATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 JIMMY LOVE LN, COLUMBIA, SC 29212-3159
(803) 772-5030
(803) 551-5477
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225802
—
SC
Enumeration date
05/01/2006
Last updated
11/12/2024
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