Provider Demographics
NPI:1447257134
Name:SWIGER, BARRY REID (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:REID
Last Name:SWIGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 GENTRY MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-8877
Mailing Address - Country:US
Mailing Address - Phone:864-855-1331
Mailing Address - Fax:864-855-1602
Practice Address - Street 1:1648 GENTRY MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-8877
Practice Address - Country:US
Practice Address - Phone:864-855-1331
Practice Address - Fax:864-855-1602
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC010928207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC010928OtherSTATE LICENSE
SC109288Medicaid
SCAS1121502OtherDEA
SCB918418065Medicare PIN
SC010928OtherSTATE LICENSE
SCB91841Medicare UPIN
SCB918413158Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID