MEDICARE: CHARLOTTE SWINT FNP

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	363LF0000X	Family Nurse Practitioner	RN147478NP	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326002908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE SWINT FNP

Provider Business Mailing Address
First Line	:	1008 EDDIE CRAIG DR
Second Line	:
City	:	MCDONOUGH
State	:	GA
Zip	:	30252-7071
Country	:	US
Telephone Number	:	678-878-9258
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 UPPERGATE DR.
Second Line	:	DIVISION OF PEDIATRIC NEUROLOGY
City	:	ATLANTA
State	:	GA
Zip	:	30322-0001
Country	:	US
Telephone Number	:	404-712-8857
Fax Number	:	404-727-1981

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	11/11/2025

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