Individual
DR. TERRELL J. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4311 SALISBURY RD, JACKSONVILLE, FL 32216-6123
(904) 641-6628
Mailing address
10961 BURNT MILL RD, #828, JACKSONVILLE, FL 32256-4654
(904) 333-8605
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
65801
GA
207P00000X
Emergency Medicine Physician
Primary
ME111251
FL
208000000X
Pediatrics Physician
25845
OK
Other
Enumeration date
07/03/2007
Last updated
06/22/2023
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