Individual
DR. JEFFREY D SEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 MEDICAL CAMPUS DR NW STE 203, SUPPLY, NC 28462-4094
(910) 755-7192
(910) 755-7194
Mailing address
20 MEDICAL CAMPUS DR NW STE 203, SUPPLY, NC 28462-4094
(910) 755-7192
(910) 755-7194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35196
NC
207R00000X
Internal Medicine Physician
Primary
35196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2207970
UNITED HEALTHCARE
NC
01
—
561776208B
CIGNA HEALTHCARE
NC
01
—
75177
BLUE CROSS BLUE SHIELD
NC
05
—
8975177
—
NC
Enumeration date
12/15/2005
Last updated
11/23/2024
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