Sward, Lisa Shrouder

Sward, Lisa Shrouder is an individual health care provider with primary practice located at 150 Gentilly Blvd , Cartersville GA 30120-8522. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sward, Lisa Shrouder can be contacted via phone (770) 382-2580.

Contact Information

Primary practice address
150 Gentilly Blvd Cartersville GA 30120-8522
Phone: (770) 382-2580
Fax: (770) 386-7910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 045639 Georgia

Profile Details

NPI number 1174688279
LBN Legal business name Sward, Lisa Shrouder
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated May 5th, 2020 - about 5 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 1174688279 NPPES
Georgia MEDICAID 000790754A

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