Basic Information
| Provider Information | |||||||||
| NPI: | 1710340906 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWANK | ||||||||
| FirstName: | ZULMA | ||||||||
| MiddleName: | GARCIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7132 GRIZZLY CREEK LN | ||||||||
| Address2: | |||||||||
| City: | POWELL | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37849 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7039813857 | ||||||||
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| Practice Location | |||||||||
| Address1: | 6473 KINGSTON PIKE | ||||||||
| Address2: | |||||||||
| City: | KNOXVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37919 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8659090090 | ||||||||
| FaxNumber: | 3852997653 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2016 | ||||||||
| LastUpdateDate: | 08/15/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 06/30/2019 | ||||||||
| NPIReactivationDate: | 07/05/2019 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 0116032517 | VA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RP1001X | 4531 | TN | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.