Individual
TRENT SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 877-4438
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-8031
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
11225
GA
363AS0400X
Surgical Physician Assistant
Primary
11225
GA
Other
Enumeration date
11/14/2022
Last updated
12/30/2022
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