Provider Demographics
NPI:1427805167
Name:SWANN, FRANK RANDOLPH IV (MS, MPH, CGC)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:RANDOLPH
Last Name:SWANN
Suffix:IV
Gender:M
Credentials:MS, MPH, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10110 MOLECULAR DR STE 218
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7542
Mailing Address - Country:US
Mailing Address - Phone:301-315-2227
Mailing Address - Fax:301-315-2169
Practice Address - Street 1:10110 MOLECULAR DR STE 218
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7542
Practice Address - Country:US
Practice Address - Phone:301-315-2227
Practice Address - Fax:301-315-2169
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG0000200170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS