Individual
MS. LISA ANNE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1459 MONTREAL RD, SUITE 207, TUCKER, GA 30084-6900
(770) 491-2622
(678) 990-5847
Mailing address
PO BOX 1718, DEMOREST, GA 33053-1718
(706) 754-8884
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN130193
GA
Other
Enumeration date
07/11/2007
Last updated
10/26/2015
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