Individual
DR. LISA ANN SWANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 PEACHWOOD CENTRE DR, SPARTANBURG, SC 29301-2575
(864) 560-9927
(864) 562-5470
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11913
SC
208D00000X
General Practice Physician
11913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119133
—
SC
01
—
H470968510
MEDICARE PIN
SC
01
—
H470969068
MEDICARE PIN
SC
01
—
SCF0346067
MEDICARE PIN
SC
01
—
SCF0346084
MEDICARE PIN
SC
01
—
SCF0346121
MEDICARE PIN
SC
01
—
SCF034J577
MEDICARE PIN
SC
Enumeration date
01/27/2006
Last updated
08/11/2023
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