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General NPI Number Information
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NPI Number | 1760645592
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Entity Type | Organization
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Legal Business Name | CRAIG S SWAFFORD MD PLLC
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 9390 RHEA COUNTY HIGHWAY
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City | DAYTON
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State | TN
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Zip | 37321
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Country | US
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Telephone | 423-757-0860
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Fax | 423-757-0866
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Provider Business Mailing Address
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Address Line | 979 E 3RD ST SUITE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2136
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Country | US
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Telephone | 423-775-5800
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Fax | 423-757-0866
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | PHOEBE A SMITH
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Credential |
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Telephone | 423-757-0860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 40348
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License Number State | TN
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