Deshannon Swanson
Individual provider Active NPI Case Management Agency · Buena Vista, GA
NPI 1649940032 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1649940032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 129 Martin Luther King Jr CT
Buena Vista, GA 31803-2417 - Phone
- (229) 314-7299
- NPI assigned
- Sep 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
129 Martin Luther King Jr CT
Buena Vista, GA 31803-2417
Mailing address
129 Martin Luther King Jr CT
Buena Vista, GA 31803-2417
Phone (229) 314-7299
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- Robert L Sales
- Tammy Albritton Singleton
- Sarah Elizabeth Tanner
- Misty W Tibbitt
- Taidra Denean Times
All providers in Buena Vista, GA · Case Management Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. 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.