Healthcare Provider Details

I. General information

NPI: 1710982798
Provider Name (Legal Business Name): HEIDI J. SEIFERT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7351 OLD MOON RD
COLUMBUS GA
31909-1741
US

IV. Provider business mailing address

7351 OLD MOON RD
COLUMBUS GA
31909-1741
US

V. Phone/Fax

Practice location:
  • Phone: 706-653-7000
  • Fax: 706-653-7800
Mailing address:
  • Phone: 706-653-7000
  • Fax: 706-653-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number112656
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: