Individual ProviderWilliam SwopePhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372(704) 667-2650PECOS EnrollmentBased on the most recent information from CMS, provider William Swope does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649225657Provider TypeIndividualFull NameSwope, WilliamCredentialPAGenderMaleSole ProprietorNoEnumeration Date5/24/2006Last Updated4/6/2022Contact InformationPractice LocationPractice Address14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372Phone(704) 667-2650FaxUnlisted FaxMailing LocationMailing AddressPO Box 19305, Charlotte, NC 28219-9305PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-08069North Carolina