Provider Demographics
NPI:1750132288
Name:SWYFT CME
Entity type:Organization
Organization Name:SWYFT CME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEAGAN
Authorized Official - Middle Name:PEDDLE
Authorized Official - Last Name:WIDENER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-414-1378
Mailing Address - Street 1:155 GRIZZLY TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-8043
Mailing Address - Country:US
Mailing Address - Phone:336-414-1378
Mailing Address - Fax:
Practice Address - Street 1:155 GRIZZLY TRL
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-8043
Practice Address - Country:US
Practice Address - Phone:336-414-1378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management