Organization
SWACK MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY LEE SWACKHAMMER MD (PRESIDENT)
(919) 988-9674
Entity
Organization
Contact information
Practice address
2400 WAYNE MEMORIAL DR, SUITE C, GOLDSBORO, NC 27534-1789
(724) 691-7912
(919) 988-9676
Mailing address
2400 WAYNE MEMORIAL DR, SUITE C, GOLDSBORO, NC 27534-1789
(919) 988-9674
(919) 988-9676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
03/03/2016
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