Swedenburg, Mark Gregory

Swedenburg, Mark Gregory is an sole proprietor health care provider with primary practice located at 400 Old Smithfield Rd , Goldsboro NC 27530-8464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Swedenburg, Mark Gregory can be contacted via phone (919) 581-4660.

Contact Information

Primary practice address
400 Old Smithfield Rd Goldsboro NC 27530-8464
Phone: (919) 581-4660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 200200290 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200200290 North Carolina

Profile Details

NPI number 1164599015
LBN Legal business name Swedenburg, Mark Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Jan 22nd, 2016 - about 8 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 1164599015 NPPES
North Carolina MEDICAID 3406028

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