Provider Demographics
NPI:1326002908
Name:SWINT, CHARLOTTE (FNP)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:
Last Name:SWINT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 EDDIE CRAIG DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-7071
Mailing Address - Country:US
Mailing Address - Phone:678-878-9258
Mailing Address - Fax:
Practice Address - Street 1:2015 UPPERGATE DR.
Practice Address - Street 2:DIVISION OF PEDIATRIC NEUROLOGY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-8857
Practice Address - Fax:404-727-1981
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN147478NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily