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Individual

RICHARD EVAN SWIFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-2969

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2590
TN
363A00000X
Physician Assistant
PA00219
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02150341
MS
05
Q008642
TN
Enumeration date
07/09/2014
Last updated
03/14/2022
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