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Individual

DR. ERIC SWINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
(770) 461-1143
Mailing address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
(770) 461-1143

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN010252
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346495033
NPI
GA
Enumeration date
11/14/2014
Last updated
11/14/2014
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