Healthcare Provider Details

I. General information

NPI: 1073852679
Provider Name (Legal Business Name): HILARY GRIMES SEAY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 02/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5675 THREE NOTCH RD SUITE C
MOBILE AL
36619-1617
US

IV. Provider business mailing address

PO BOX 8159
MOBILE AL
36689-0159
US

V. Phone/Fax

Practice location:
  • Phone: 251-445-4440
  • Fax: 251-445-4435
Mailing address:
  • Phone: 251-414-5810
  • Fax: 251-414-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1-113064
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: