William Swofford MD PC
Organization Active NPI Family Medicine Physician · Colquitt, GA
NPI 1609182765 · NPPES record last updated Aug 27, 2010
Key facts
- NPI
- 1609182765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 046262 (GA)
- Legal business name
- WILLIAM SWOFFORD MD PC
- Practice address
- 210 W Main St Ste 4
Colquitt, GA 39837-3434 - Phone
- (229) 758-3002
- Fax
- (229) 758-9415
- NPI assigned
- Aug 27, 2010
- Organization subpart
- No
Authorized official
- Name
- William F Swofford, M.D.
- Title
- Owner
- Phone
- (229) 758-3002
National Provider Directory
Locations
210 W Main St
Ste 4
Colquitt, GA 39837
Phone (229) 758-3002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 046262 | GA | Yes |
| Family Nurse Practitioner |
363LF0000X | RN132537 | GA |
Addresses
Primary practice location
210 W Main St Ste 4
Colquitt, GA 39837-3434
Mailing address
210 W Main St Ste 4
Colquitt, GA 39837-3434
Phone (229) 758-3002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00815515C | Medicaid | GA |
Other names
- Colquitt Complete Care LLC
Other providers in Colquitt, GA
- The Hospital Authority of Miller County
- Karen Nicole Trawick
- Sharon Maulden Traylor
- Walgreen Co
- Katherine Hutchins White
- Yvette Nicole Williams
- Brandi Woods
All providers in Colquitt, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.