Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN184840 | GA |
NPI | 1003105727 |
---|---|
Provider Name | Mrs. Christine A. Swords |
First Address | Savannah, GA 31416-2549 |
Second Address | Hinesville, GA 31313-4353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 04/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RN184840 | GA MEDICAL LICENSE (01) | GA |