Individual
STANLEY MARK SWINDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18797 ALBERTA ST, ONEIDA, TN 37841-2127
(423) 569-8521
(865) 291-3228
Mailing address
152 HILLCREST DR, ONEIDA, TN 37841-6658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19305
TN
207R00000X
Internal Medicine Physician
19305
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3869265
—
TN
05
—
64068364
—
KY
Enumeration date
05/27/2006
Last updated
01/29/2019
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