Individual
JEANNIE M SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 PROFESSIONAL PARK DR, SUITE C, GOODLETTSVILLE, TN 37072-2180
(615) 859-1440
(615) 859-0145
Mailing address
PO BOX 710, GOODLETTSVILLE, TN 37070-0710
(615) 859-1440
(615) 859-0145
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1755
TN
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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