MEDICARE: CALLIE SWEATT

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	163WC0200X	Critical Care Medicine Registered Nurse	278107	SC

General Provider Information

NPI Number	:	1093644981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALLIE SWEATT

Provider Business Mailing Address
First Line	:	412 REEDY RIVER CT
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-9630
Country	:	US
Telephone Number	:	803-727-5056
Fax Number	:

Provider Business Practice Location Address
First Line	:	412 REEDY RIVER CT
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29073-9630
Country	:	US
Telephone Number	:	803-727-5056
Fax Number	:

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

Provider Enumeration Date	:	05/16/2026
Last Update Date	:	05/16/2026

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Directions to “ CALLIE SWEATT ” Practice Location

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