MEDICARE: CATHY M JUDGE SWANEY MD

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
1	207Q00000X	Family Medicine Physician	9500628	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538162243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY M JUDGE SWANEY MD

Provider Business Mailing Address
First Line	:	1617 NC HWY 66 SOUTH
Second Line	:	STE 101
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-3829
Country	:	US
Telephone Number	:	336-993-2224
Fax Number	:	336-993-0382

Provider Business Practice Location Address
First Line	:	1617 NC HWY 66 SOUTH
Second Line	:	STE 101
City	:	KERNERSVILLE
State	:	NC
Zip	:	27284-3829
Country	:	US
Telephone Number	:	336-993-2224
Fax Number	:	336-993-0382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	11/15/2010

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Directions to “ CATHY M JUDGE SWANEY MD” Practice Location

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