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NPI Code Detail

MEDICARE: ABRAM TIMOTHY SEAVERS DPM

MEDICARE:   ABRAM TIMOTHY SEAVERS  DPM
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
1213E00000XPodiatrist191NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2480032852OTHERNCMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15339465OTHERNCAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
40809FOTHERNCBLUE CROSS
51493590OTHERNCUNITED HEALTHCARE

General Provider Information

NPI Number : 1154314391
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABRAM TIMOTHY SEAVERS DPM
Provider Business Mailing Address
First Line : 403 W 15TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3524
Country : US
Telephone Number : 252-946-0342
Fax Number : 252-948-0558
Provider Business Practice Location Address
First Line : 403 W 15TH ST
Second Line :
City : WASHINGTON
State : NC
Zip : 27889-3524
Country : US
Telephone Number : 252-946-0342
Fax Number : 252-948-0558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 06/30/2022

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1346482957 — MRS. JENNY EBORN MCNEILL OTR/L
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Directions to “ ABRAM TIMOTHY SEAVERS DPM” Practice Location

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