Swain, Angela Denise

Swain, Angela Denise is an individual health care provider with primary practice located at 3405 Dallas Hwy Sw Ste 300 , Marietta GA 30064-6426. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Swain, Angela Denise can be contacted via phone (770) 425-5331.

Contact Information

Primary practice address
3405 Dallas Hwy Sw Ste 300 Marietta GA 30064-6426
Phone: (770) 425-5331
Fax: (770) 425-0799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 124349 Georgia

Profile Details

NPI number 1255489985
LBN Legal business name Swain, Angela Denise
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Mar 3rd, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255489985 NPPES
Georgia MEDICAID 000944853J
Georgia MEDICAID 000944853F

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