Individual
DR. MICHAEL R SWANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 TROTTERS RDG, FAYETTEVILLE, GA 30215-6537
(678) 817-7115
Mailing address
140 TROTTERS RDG, FAYETTEVILLE, GA 30215-6537
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
041684
GA
207X00000X
Orthopaedic Surgery Physician
34175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000478068A
—
GA
05
—
000478068B
—
GA
05
—
8981148
—
NC
01
—
RRPTAN200017460
RAILROAD MEDICARE
—
Enumeration date
10/19/2005
Last updated
03/06/2015
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