Provider Demographics
NPI:1720564420
Name:MCSWAIN, RENEE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:MCSWAIN
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 1:10450 SHAKER DR STE 113
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2351
Mailing Address - Country:US
Mailing Address - Phone:410-730-1499
Mailing Address - Fax:
Practice Address - Street 1:10450 SHAKER DR STE 113
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2351
Practice Address - Country:US
Practice Address - Phone:410-730-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist