Provider Demographics
NPI:1861625253
Name:BENITA SWARTOUT DO PC
Entity type:Organization
Organization Name:BENITA SWARTOUT DO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARTOUT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:866-972-6076
Mailing Address - Street 1:25 CENTURY BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3601
Mailing Address - Country:US
Mailing Address - Phone:866-972-6076
Mailing Address - Fax:866-972-6077
Practice Address - Street 1:25 CENTURY BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-3601
Practice Address - Country:US
Practice Address - Phone:866-972-6076
Practice Address - Fax:866-972-6077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2074174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty