MEDICARE: ANTHONY D SEATON MD, PHD

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
1	207W00000X	Ophthalmology Physician	27984	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083646905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY D SEATON MD, PHD

Provider Business Mailing Address
First Line	:	135 W RAVINE RD
Second Line	:	SUITE 2C
City	:	KINGSPORT
State	:	TN
Zip	:	37660-3847
Country	:	US
Telephone Number	:	423-246-7372
Fax Number	:	423-578-4369

Provider Business Practice Location Address
First Line	:	4 SHERIDAN SQ
Second Line	:	SUITE 102
City	:	KINGSPORT
State	:	TN
Zip	:	37660-7435
Country	:	US
Telephone Number	:	423-246-8196
Fax Number	:	423-246-2308

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	08/13/2012

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