Individual
PATRICK SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7824 BASSWOOD LN, CHATTANOOGA, TN 37416-2403
(423) 320-9068
Mailing address
7824 BASSWOOD LN, CHATTANOOGA, TN 37416-2403
(423) 320-9068
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
100559862
TN
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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