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NPI Code Detail

MEDICARE: MR. PHILLIP TIMOTHY SEAMANS PA

MEDICARE: MR. PHILLIP TIMOTHY SEAMANS PA
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
1363AM0700XMedical Physician Assistant100857NC

General Provider Information

NPI Number : 1558499434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PHILLIP TIMOTHY SEAMANS PA
Provider Business Mailing Address
First Line : 1272 BILL HOOKS RD
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-9065
Country : US
Telephone Number : 910-654-3143
Fax Number : 910-654-4144
Provider Business Practice Location Address
First Line : 104 E 7TH AVE
Second Line :
City : CHADBOURN
State : NC
Zip : 28431-1402
Country : US
Telephone Number : 910-654-3143
Fax Number : 910-654-4144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MR. PHILLIP TIMOTHY SEAMANS PA” Practice Location

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