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NPI Code Detail

MEDICARE: NEELY ELIZABETH SWARTZ

MEDICARE:   NEELY ELIZABETH SWARTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1336917780
Entity Type Code : Individual
Provider Name (Legal Business Name) : NEELY ELIZABETH SWARTZ
Provider Business Mailing Address
First Line : 4492 BRONCO CT NE
Second Line :
City : ROSWELL
State : GA
Zip : 30075-3168
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5445 ATLANTA HWY
Second Line :
City : MONTGOMERY
State : AL
Zip : 36109-3325
Country : US
Telephone Number : 334-272-5820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2023
Last Update Date : 01/22/2024

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Directions to “ NEELY ELIZABETH SWARTZ ” Practice Location

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