MEDICARE: EMILY ELIZABETH SWIGER PA-C

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	363A00000X	Physician Assistant	01258	WV

General Provider Information

NPI Number	:	1952461394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY ELIZABETH SWIGER PA-C

Provider Business Mailing Address
First Line	:	118 GLOUCHESTER DR
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22603-4328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 FOXCROFT AVE
Second Line	:
City	:	MARTINSBURG
State	:	WV
Zip	:	25401-5312
Country	:	US
Telephone Number	:	304-267-9440
Fax Number	:

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	07/08/2007

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