SWAN UROGYNECOLOGY PC NPI 1104105873

NPI Information

SWAN UROGYNECOLOGY, PC is a medical specialty clinic center in Nashville, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SWAN UROGYNECOLOGY, PC NPI is 1104105873. The provider is registered as an organization entity type.

The provider's business location address is:

329 21ST AVENUE NORTH
SUITE 1
NASHVILLE, TN
ZIP 37203-857
Phone: (615) 515-9180
Fax: (615) 712-7647

The provider's authorized official is Tabitha Mondrage .
The authorized official title is Office Manager and has the following contact phone number (615) 515-9180.

The CLIA number assigned to this NPI record is 44D2028024 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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