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NPI Code Detail

MEDICARE: MICHAEL J. SWANEY MD

MEDICARE:   MICHAEL J. SWANEY  MD
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
12084P0804XChild & Adolescent Psychiatry Physician200600503NC
22084P0800XPsychiatry Physician2006-00503NC

Other Identifiers

General Provider Information

NPI Number : 1477580801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J. SWANEY MD
Provider Business Mailing Address
First Line : 2927 DEMERE RD
Second Line :
City : SAINT SIMONS ISLAND
State : GA
Zip : 31522-1620
Country : US
Telephone Number : 912-638-1999
Fax Number :
Provider Business Practice Location Address
First Line : 2927 DEMERE RD
Second Line :
City : SAINT SIMONS ISLAND
State : GA
Zip : 31522-1620
Country : US
Telephone Number : 912-638-1999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/21/2022

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Directions to “ MICHAEL J. SWANEY MD” Practice Location

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