MEDICARE: DR. PATRICK SWIFT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	G561820	CA

General Provider Information

NPI Number	:	1053312355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK SWIFT M.D.

Provider Business Mailing Address
First Line	:	2864 JOHNSON FERRY RD
Second Line	:	SUITE 150
City	:	MARIETTA
State	:	GA
Zip	:	30062-5635
Country	:	US
Telephone Number	:	770-693-2622
Fax Number	:	770-693-6039

Provider Business Practice Location Address
First Line	:	2001 DWIGHT WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-2608
Country	:	US
Telephone Number	:	510-204-2462
Fax Number	:	510-204-1499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	08/26/2014

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