MEDICARE: DR. MICHAEL R SWANY 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
1	207X00000X	Orthopaedic Surgery Physician	34175	NC
2	207X00000X	Orthopaedic Surgery Physician	041684	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	RRPTAN200017460	OTHER		RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1821087149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL R SWANY M.D.

Provider Business Mailing Address
First Line	:	140 TROTTERS RDG
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-6537
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	140 TROTTERS RDG
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30215-6537
Country	:	US
Telephone Number	:	678-817-7115
Fax Number	:

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/06/2015

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Directions to “ DR. MICHAEL R SWANY M.D.” Practice Location

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