Provider Demographics
NPI:1972286813
Name:SWOPE, THOMAS A JR
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:A
Last Name:SWOPE
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6479 ALFORD CIR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3152
Mailing Address - Country:US
Mailing Address - Phone:678-367-0251
Mailing Address - Fax:
Practice Address - Street 1:6479 ALFORD CIR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3152
Practice Address - Country:US
Practice Address - Phone:678-367-0251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program