Provider Demographics
NPI:1902890874
Name:SWAIM, LINDIAN J JR (MD)
Entity Type:Individual
Prefix:MR
First Name:LINDIAN
Middle Name:J
Last Name:SWAIM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-7840
Mailing Address - Fax:704-384-7830
Practice Address - Street 1:14 DOCTORS CIR
Practice Address - Street 2:SUITE 5
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4097
Practice Address - Country:US
Practice Address - Phone:910-754-9166
Practice Address - Fax:910-754-2972
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2011-12-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC18728207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8981117Medicaid
E00432Medicare UPIN
NC201952DMedicare ID - Type Unspecified