Provider Demographics
NPI:1699775676
Name:SWAN, ALLEN CECIL (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:CECIL
Last Name:SWAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:230 DUNCAN DR
Mailing Address - Street 2:BLDG 1440, STE A148
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31409-5107
Mailing Address - Country:US
Mailing Address - Phone:912-315-5818
Mailing Address - Fax:912-315-5043
Practice Address - Street 1:230 DUNCAN DR
Practice Address - Street 2:BLDG 1440, STE A148
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31409-5107
Practice Address - Country:US
Practice Address - Phone:912-315-5818
Practice Address - Fax:912-315-5043
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2010-09-16
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Provider Licenses
StateLicense IDTaxonomies
IN01054685A208D00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine