Individual
MRS. KACIE J. SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 W GORDON ST, ER DEPT, THOMASTON, GA 30286-3426
(706) 647-5981
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005092
GA
Other
Enumeration date
08/21/2007
Last updated
06/14/2012
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