Edwin Russell Swann MD

NPI 1063421246 - Ophthalmology - 207W00000X

NPI Details
NPI 1063421246
Gender Male
Enumeration Date 08/05/2006
Last Updated 12/22/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4822 SIX FORKS RD
SUITE 104
RALEIGH NC, 27609-5269, US
Phone (919) 782-4933
Fax (919) 782-4934
Business Location
4822 SIX FORKS RD
SUITE 104
RALEIGH NC, 27609-5269, US
Phone (919) 782-4933
Fax (919) 782-4934
Toxanomy
Taxonomy Code 207W00000X
License State North Carolina
License Number 21724
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According to our database, Edwin Russell Swann MD NPI is 1063421246, taxonomy code is 207W00000X and license number is 21724, license state is located at North Carolina. Edwin Russell Swann MD physically located at 4822 Six Forks Rd, Raleigh NC, 27609-5269. NPI Number Edwin Russell Swann MD has the Individual type.

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1063421246 NPI number is provided on an as is basis without warranty of any kind. 1063421246 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Russell Swann MD are for informational purposes only.