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WILLIAM SWOFFORD MD PC NPI 1609182765


NPI Information

NPI: 1609182765
Provider Name: WILLIAM SWOFFORD MD PC

Former Legal Business Name: COLQUITT COMPLETE CARE LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
210 W MAIN ST STE 4
COLQUITT, GA
ZIP 39837
Phone: (229) 758-3002
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WILLIAM SWOFFORD MD PC is a family medicine in Colquitt, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WILLIAM SWOFFORD MD PC NPI is 1609182765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Colquitt Complete Care Llc.

The provider's business location address is:

210 W MAIN ST STE 4
COLQUITT, GA
ZIP 39837-434
Phone: (229) 758-3002
Fax: (229) 758-9415

The provider's authorized official is William F Swofford .
The authorized official title is Owner and has the following contact phone number (229) 758-3002.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyRN132537GEORGIANo
2207Q00000XFamily Medicine046262GEORGIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G81497MEDICARE UPIN
200815515CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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