Swan, Wanda

Swan, Wanda is an sole proprietor health care provider with primary practice located at 37 W Fairmont Ave Ste 321 , Savannah GA 31406-3459. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Swan, Wanda can be contacted via phone (912) 659-8099.

Contact Information

Primary practice address
37 W Fairmont Ave Ste 321 Savannah GA 31406-3459
Phone: (912) 659-8099
Fax: (912) 257-7315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 006299 Georgia

Profile Details

NPI number 1578530861
LBN Legal business name Swan, Wanda
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2006
Last updated Apr 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578530861 NPPES
Georgia MEDICAID 000944501C
Georgia MEDICAID 000944501A
Georgia MEDICAID 000944501E
Georgia MEDICAID 000944501G

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