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Individual

KARL SWINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 ANDREWS AVENUE, FORT NOVOSEL, AL 36362
(352) 557-5883
Mailing address
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459
(337) 531-3011

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29501
NE
2083X0100X
Occupational Medicine Physician
29501
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29501
LICENSE
NE
Enumeration date
06/29/2015
Last updated
07/22/2024
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