Healthcare Provider Details

I. General information

NPI: 1396765301
Provider Name (Legal Business Name): ZACHARY T SWARTZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/11/2024
Certification Date: 03/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 N CHURCH ST STE 103
GREENSBORO NC
27401-1035
US

IV. Provider business mailing address

1126 N CHURCH ST STE 103
GREENSBORO NC
27401-1035
US

V. Phone/Fax

Practice location:
  • Phone: 336-663-4900
  • Fax: 336-663-4920
Mailing address:
  • Phone: 336-663-4900
  • Fax: 336-663-4920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number200000991
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: