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NPI Code Detail

MEDICARE: SWC MEDICAL, LLC

MEDICARE: SWC MEDICAL, LLC
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
1111NS0005XSports Physician Chiropractor
2208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1801233879
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWC MEDICAL, LLC
Provider Business Mailing Address
First Line : 8346 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-400-9004
Fax Number : 225-810-3111
Provider Business Practice Location Address
First Line : 8346 KELWOOD AVE
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-4803
Country : US
Telephone Number : 225-400-9004
Fax Number : 225-810-3111
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : HEATHER PARKER SILVA
Credential :
Telephone Number : 225-400-9004
Provider Enumeration Date : 05/30/2013
Last Update Date : 02/28/2023

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Directions to “SWC MEDICAL, LLC ” Practice Location

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