Swallows, Gwynn D

Swallows, Gwynn D is an individual health care provider with primary practice located at 2525 Desales Avenue , Chattanooga TN 37404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Swallows, Gwynn D can be contacted via phone (423) 697-0014.

Contact Information

Primary practice address
2525 Desales Avenue Chattanooga TN 37404
Phone: (423) 697-0014
Fax: (423) 648-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X PA00407 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X PA0407 Tennessee

Profile Details

NPI number 1649208299
LBN Legal business name Swallows, Gwynn D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 18th, 2011 - about 13 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 1649208299 NPPES
Georgia MEDICAID 189041088B

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