Healthcare Provider Details

I. General information

NPI: 1871174227
Provider Name (Legal Business Name): YASMIN ROISIN SEAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2021
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 OCEAN BLVD STE 103
ST SIMONS ISLAND GA
31522-4237
US

IV. Provider business mailing address

1331 OCEAN BLVD STE 103
ST SIMONS ISLAND GA
31522-4237
US

V. Phone/Fax

Practice location:
  • Phone: 912-268-0533
  • Fax: 833-275-2056
Mailing address:
  • Phone: 912-268-0533
  • Fax: 833-275-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number99172
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number99172
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: