Healthcare Provider Details

I. General information

NPI: 1902127723
Provider Name (Legal Business Name): COLIN SWENSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5673 PEACHTREE DUNWOODY RD SUITE 502
ATLANTA GA
30342-1731
US

IV. Provider business mailing address

5673 PEACHTREE DUNWOODY RD SUITE 502
ATLANTA GA
30342-1731
US

V. Phone/Fax

Practice location:
  • Phone: 404-251-1700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number74378
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberTRN17541
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number74378
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number074378
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: