Provider Demographics
NPI:1407596398
Name:SWALES, JOSEPH (RDN, CDCES)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:SWALES
Suffix:
Gender:M
Credentials:RDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7982 STOTT RD
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:NC
Mailing Address - Zip Code:27807-9250
Mailing Address - Country:US
Mailing Address - Phone:908-319-3902
Mailing Address - Fax:
Practice Address - Street 1:208 COX BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-1693
Practice Address - Country:US
Practice Address - Phone:919-731-6807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered