Provider Demographics
NPI:1164213229
Name:SWANN, WHITNEY MAKENZIE (DO)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:MAKENZIE
Last Name:SWANN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:MAKENZIE
Other - Last Name:BEAVERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3085 COMMONWEALTH DR APT 2233
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-3136
Mailing Address - Country:US
Mailing Address - Phone:205-914-2925
Mailing Address - Fax:
Practice Address - Street 1:145 SUNSET CT STE 100
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-2464
Practice Address - Country:US
Practice Address - Phone:803-739-3550
Practice Address - Fax:803-739-3546
Is Sole Proprietor?:No
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program