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NPI Code Detail

MEDICARE: SAVANNAH HOLLIFIELD SEETHALER PA

MEDICARE: SAVANNAH HOLLIFIELD SEETHALER PA
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
1363AM0700XMedical Physician Assistant13353GA
2363A00000XPhysician Assistant13353GA

General Provider Information

NPI Number : 1720868748
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH HOLLIFIELD SEETHALER PA
Provider Business Mailing Address
First Line : PO BOX 31164
Second Line :
City : AUGUSTA
State : GA
Zip : 30903-2964
Country : US
Telephone Number : 706-922-0600
Fax Number :
Provider Business Practice Location Address
First Line : 2604 PEACH ORCHARD RD STE 200
Second Line :
City : AUGUSTA
State : GA
Zip : 30906-2406
Country : US
Telephone Number : 706-922-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2023
Last Update Date : 05/06/2026

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Directions to “ SAVANNAH HOLLIFIELD SEETHALER PA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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