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NPI Code Detail

MEDICARE: DR RALPH A SWETLOW LTD

MEDICARE: DR RALPH A SWETLOW LTD
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
1152WX0102XOccupational Vision Optometrist0618000112VA

General Provider Information

NPI Number : 1326075862
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR RALPH A SWETLOW LTD
Provider Business Mailing Address
First Line : 5653 COLUMBIA PIKE
Second Line : SUITE 101
City : BAILEYS CROSSROADS
State : VA
Zip : 22041-2872
Country : US
Telephone Number : 703-578-3600
Fax Number : 703-369-7089
Provider Business Practice Location Address
First Line : 5653 COLUMBIA PIKE
Second Line :
City : BAILEYS CROSSROADS
State : VA
Zip : 22041-2874
Country : US
Telephone Number : 703-578-3600
Fax Number : 703-369-7089
Authorized Official
Title or Position : PRESIDENT
Name : DR. CHRISTOPHER RENNER
Credential : OD
Telephone Number : 703-578-3600
Provider Enumeration Date : 06/28/2006
Last Update Date : 06/26/2008

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Directions to “DR RALPH A SWETLOW LTD ” Practice Location

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