Healthcare Provider Details

I. General information

NPI: 1093210254
Provider Name (Legal Business Name): DAVID A SWIFT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 PEACHTREE DUNWOODY RD STE 910
ATLANTA GA
30342-4789
US

IV. Provider business mailing address

5670 PEACHTREE DUNWOODY RD STE 910
ATLANTA GA
30342-4789
US

V. Phone/Fax

Practice location:
  • Phone: 770-277-4277
  • Fax:
Mailing address:
  • Phone: 770-277-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number112865
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: