MEDICARE: DONALD PAUL SEAGO MD

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	207VX0201X	Gynecologic Oncology Physician	14863	MS

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	:	1194717363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD PAUL SEAGO MD

Provider Business Mailing Address
First Line	:	971 LAKELAND DR
Second Line	:	STE 750
City	:	JACKSON
State	:	MS
Zip	:	39216-4643
Country	:	US
Telephone Number	:	601-987-3033
Fax Number	:	601-987-8768

Provider Business Practice Location Address
First Line	:	971 LAKELAND DR
Second Line	:	STE 750
City	:	JACKSON
State	:	MS
Zip	:	39216-4643
Country	:	US
Telephone Number	:	601-987-3033
Fax Number	:	601-987-8768

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/08/2007

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Directions to “ DONALD PAUL SEAGO MD” Practice Location

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