Provider Demographics
NPI:1801086442
Name:SWINSON, JOYCE A
Entity type:Individual
Prefix:MISS
First Name:JOYCE
Middle Name:A
Last Name:SWINSON
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 1:7120 HWY 152 EAST
Mailing Address - Street 2:
Mailing Address - City:ROCKWELL
Mailing Address - State:NC
Mailing Address - Zip Code:28138-8874
Mailing Address - Country:US
Mailing Address - Phone:704-279-4061
Mailing Address - Fax:704-279-4061
Practice Address - Street 1:7120 HWY 152 EAST
Practice Address - Street 2:
Practice Address - City:ROCKWELL
Practice Address - State:NC
Practice Address - Zip Code:28138-8874
Practice Address - Country:US
Practice Address - Phone:704-279-4061
Practice Address - Fax:704-279-4061
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFCL 080 015376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFCL080015OtherFCL
NC7804638OtherMEDICARE ID