Provider Demographics
NPI:1821070228
Name:SWINKER, MARIAN L (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:L
Last Name:SWINKER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751069
Mailing Address - Street 2:ECU PHYSICIANS
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 HEART DR
Practice Address - Street 2:ECU PHYSICIANS FAMILY MEDICINE CENTER
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8944
Practice Address - Country:US
Practice Address - Phone:252-744-4611
Practice Address - Fax:252-744-3201
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2013-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9401500207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8124BOtherBCBS NC
NC250008077OtherRAILROAD MEDICARE
NC898124BMedicaid
NC250008077OtherRAILROAD MEDICARE
NC898124BMedicaid