Individual
TAYLOR S SWINEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
(912) 548-0071
Mailing address
615A PENDLETON ST, WAYCROSS, GA 31501-4724
(912) 548-0710
(912) 548-0071
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN235821
GA
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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