Swaggard-Green, Edie Antoinette

Swaggard-Green, Edie Antoinette is an individual health care provider with primary practice located at 684 W Bankhead Hwy , Villa Rica GA 30180-1601. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Swaggard-Green, Edie Antoinette can be contacted via phone (770) 459-9344.

Contact Information

Primary practice address
684 W Bankhead Hwy Villa Rica GA 30180-1601
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH025125 Georgia
Pharmacy Service Providers / Pharmacist 183500000X 045228 New York

Profile Details

NPI number 1124305602
LBN Legal business name Swaggard-Green, Edie Antoinette
Credentials R.PH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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