| Gary Swanson, MD | |
|
1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Gary Swanson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1080 N Ellington Pkwy, Lewisburg, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326085655 | NPI | - | NPPES |
| 3170903 | Medicaid | TN | |
| P0020390 | Other | TN | RRMCR |
| 4098059 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD011234 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Swanson, MD Po Box 532734, Atlanta, GA 30353-2734 Ph: (904) 805-1300 | Gary Swanson, MD 1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 Ph: (904) 805-1300 |
Sonnepal Venkat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Charles Galiwango, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Jim T Harris, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 931-359-6241 |