Individual provider · Type 1 NPI

Courtney Caroline Swan

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1619506417 Active

Practice location

1364 Clifton Rd NE
Atlanta, GA 30322-1059

Mailing address

1280 Indian Mound Trl
Vero Beach, FL 32963-2345

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X97462 (GA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619506417

Courtney Caroline Swan's National Provider Identifier is 1619506417, issued on Apr 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 13, 2024.