NPI 1083937908

Gary Wade Swartzentruber, MD

Practitioner Family Medicine Physician Moultrie, GA

Practice location

Address: 8 Laurel CT, Moultrie, GA 31768-6889
Phone: (229) 891-9016
Mailing address: PO Box 2876, Moultrie, GA 31776-2876

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 63965 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1083937908
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2010
Record last updated: 4 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.