MEDICARE: DR. SARA ANN SWANTON DO

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	207Q00000X	Family Medicine Physician	208173	NC

General Provider Information

NPI Number	:	1770962607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARA ANN SWANTON DO

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	844-266-8268
Fax Number	:

Provider Business Practice Location Address
First Line	:	6237 CAROLINA COMMONS DR STE 101
Second Line	:
City	:	INDIAN LAND
State	:	SC
Zip	:	29707-4511
Country	:	US
Telephone Number	:	803-548-9393
Fax Number	:	803-548-9590

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

Provider Enumeration Date	:	05/26/2015
Last Update Date	:	03/14/2022

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