Provider Demographics
NPI:1710340906
Name:SWANK, ZULMA GARCIA
Entity Type:Individual
Prefix:
First Name:ZULMA
Middle Name:GARCIA
Last Name:SWANK
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 1:6473 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-4832
Mailing Address - Country:US
Mailing Address - Phone:865-588-8831
Mailing Address - Fax:
Practice Address - Street 1:6473 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-909-0090
Practice Address - Fax:385-299-7653
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2023-03-20
Deactivation Date:2019-06-30
Deactivation Code:
Reactivation Date:2019-07-05
Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0116032517390200000X
TN4531207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program