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NPI Code Detail

MEDICARE: MELISSA SEAGLE

MEDICARE: MELISSA SEAGLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3696SC

General Provider Information

NPI Number : 1356742761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SEAGLE
Provider Business Mailing Address
First Line : PO BOX 629
Second Line :
City : MAULDIN
State : SC
Zip : 29662-0629
Country : US
Telephone Number : 843-671-7342
Fax Number :
Provider Business Practice Location Address
First Line : 8 HOSPITAL CENTER BLVD STE 250
Second Line :
City : HILTON HEAD ISLAND
State : SC
Zip : 29926-8702
Country : US
Telephone Number : 843-671-7342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2014
Last Update Date : 01/18/2022

Similar Medicare Providers

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Practice Location Address:
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1336216720 — MATTHEW MICHAEL CLARK PT
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1558592311 — VINITA MAHAJAN OTR/L
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1063845915 — KATHERINE B PHILPOTT DPT
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Practice Fax: 843-671-7343

Directions to “ MELISSA SEAGLE ” Practice Location

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