Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 22622 | MS |
N | 111NI0900X | Internist | 22622 | MS |
N | 207R00000X | Internist | DO1259 | AL |
N | 111NI0900X | Internist | DO1259 | AL |
Y | 207RC0200X | Critical Care Medicine | 22622 | MS |
NPI | 1023320280 |
---|---|
Provider Name | Christopher W Swift |
First Address | Meridian, MS 39302-5392 |
Second Address | Meridian, MS 39301-4116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2010 |
Last Update Date | 13/12/2018 |