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General NPI Number Information
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NPI Number | 1164604096
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Entity Type | Organization
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Legal Business Name | CHRIS SWAYZE M D PLLC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 1760 NICHOLASVILLE RD SUITE 301
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City | LEXINGTON
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State | KY
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Zip | 40503-1471
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Country | US
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Telephone | 888-850-6310
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1343
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City | LEXINGTON
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State | KY
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Zip | 40588-1343
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Country | US
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Telephone | 888-850-6310
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTOPHER REED SWAYZE
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Credential | MD
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Telephone | 859-367-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 29101
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License Number State | KY
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