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NPI Code Detail

MEDICARE: DANIEL MARK SEELEY RN

MEDICARE: DANIEL MARK SEELEY RN
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
1163W00000XRegistered NurseRN0000153563TN

General Provider Information

NPI Number : 1710149745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL MARK SEELEY RN
Provider Business Mailing Address
First Line : 4839 BINGHAM HOLLOW RD
Second Line :
City : WILLIAMSPORT
State : TN
Zip : 38487-2214
Country : US
Telephone Number : 931-797-9722
Fax Number :
Provider Business Practice Location Address
First Line : 2122 CIRCLE DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4430
Country : US
Telephone Number : 931-490-1480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 11/14/2008

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