Provider Demographics
NPI:1073716007
Name:SWINT, JOHN WILLIAM III (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:SWINT
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1332 YELLOW SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-2546
Mailing Address - Country:US
Mailing Address - Phone:478-256-5696
Mailing Address - Fax:833-499-1786
Practice Address - Street 1:10806 MONROE RD UNIT B
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7305
Practice Address - Country:US
Practice Address - Phone:980-290-1297
Practice Address - Fax:833-499-1786
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005055363A00000X
NC0010-03056363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant