Swanger, Russell D

Swanger, Russell D is an individual health care provider with primary practice located at 2806 Hillcreek Dr , Augusta GA 30909-6484. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Swanger, Russell D can be contacted via phone (706) 863-0200.

Contact Information

Primary practice address
2806 Hillcreek Dr Augusta GA 30909-6484
Phone: (706) 863-0200
Fax: (706) 863-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 1128 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 038629 Georgia

Profile Details

NPI number 1114913514
LBN Legal business name Swanger, Russell D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 28th, 2020 - about 5 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 1114913514 NPPES
Georgia MEDICAID 00638272B
Georgia Other 147GG
Georgia MEDICAID 5908040
Georgia Other G38629
Georgia MEDICAID G38629

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