Provider Demographics
NPI:1780741256
Name:SWISHER INTERNAL MEDICINE, PLLC
Entity type:Organization
Organization Name:SWISHER INTERNAL MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENETTE
Authorized Official - Middle Name:T
Authorized Official - Last Name:SWISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-441-7898
Mailing Address - Street 1:30 13TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601
Mailing Address - Country:US
Mailing Address - Phone:828-324-0100
Mailing Address - Fax:828-754-5592
Practice Address - Street 1:30 13TH AVE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3013
Practice Address - Country:US
Practice Address - Phone:828-324-0100
Practice Address - Fax:828-754-5592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC99155207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG66587Medicare UPIN