Provider Demographics
NPI:1760237291
Name:SWINT, TAMMI TERRELL
Entity Type:Individual
Prefix:MRS
First Name:TAMMI
Middle Name:TERRELL
Last Name:SWINT
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 1:1545 PLAIN AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44714-2443
Mailing Address - Country:US
Mailing Address - Phone:330-327-1284
Mailing Address - Fax:
Practice Address - Street 1:1545 PLAIN AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44714-2443
Practice Address - Country:US
Practice Address - Phone:330-327-1284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator