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Organization

SWAN SURGICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHAD R SWAN M.D. (PHYSICIAN/OWNER)
(615) 206-1700
Entity
Organization

Contact information

Practice address
353 NEW SHACKLE ISLAND RD, STE B224, HENDERSONVILLE, TN 37075-2379
(615) 206-1700
(615) 590-7268
Mailing address
353 NEW SHACKLE ISLAND RD, STE B224, HENDERSONVILLE, TN 37075-2379
(615) 206-1700
(615) 590-7268

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40052
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
40052
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514848
TN
Enumeration date
05/04/2009
Last updated
08/27/2015
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