Provider Demographics
NPI:1639642010
Name:SWIFT-MOORE, APRIL MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:MICHELLE
Last Name:SWIFT-MOORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 PATRICIA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-7453
Mailing Address - Country:US
Mailing Address - Phone:909-454-2460
Mailing Address - Fax:
Practice Address - Street 1:512 PATRICIA DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-7453
Practice Address - Country:US
Practice Address - Phone:909-454-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0900XAmbulatory Health Care FacilitiesClinic/CenterAmputee