MEDICARE: ALICIA MARIE SWANGER AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	23432	SC

General Provider Information

NPI Number	:	1619348745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA MARIE SWANGER AGACNP-BC

Provider Business Mailing Address
First Line	:	PO BOX 751649
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28275-1649
Country	:	US
Telephone Number	:	888-472-0043
Fax Number	:	843-724-2440

Provider Business Practice Location Address
First Line	:	3510 N HIGHWAY 17 STE 220
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29466-8245
Country	:	US
Telephone Number	:	843-607-7174
Fax Number	:	843-606-8122

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	09/11/2025

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Directions to “ ALICIA MARIE SWANGER AGACNP-BC” Practice Location

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