Swann, Theodore
Swann, Theodore is an individual health care provider with primary practice located at 386 College Ave , Clemson SC 29631-1475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Swann, Theodore can be contacted via phone (864) 654-2067.Contact Information
Primary practice address
386 College Ave
Clemson SC 29631-1475
Phone: (864) 654-2067
Fax: (864) 654-3261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23395 | South Carolina |
Profile Details
| NPI number | 1225085699 |
|---|---|
| LBN Legal business name | Swann, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Apr 27th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225085699 | NPPES |
| South Carolina | Other | P00362791 | RR MEDICARE |
| South Carolina | MEDICAID | 233955 | RR MEDICARE |
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