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NPI Code Detail

MEDICARE: MELODY ANN SWAVELY M.D.

MEDICARE: MELODY ANN SWAVELY 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
1207P00000XEmergency Medicine Physician14602SC
2207Q00000XFamily Medicine Physician14602SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336105204
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELODY ANN SWAVELY M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11402 ANDERSON RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29611-7557
Country : US
Telephone Number : 864-631-2799
Fax Number : 864-522-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 01/10/2023

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Directions to “ MELODY ANN SWAVELY M.D.” Practice Location

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