Individual
PHILIP SCOTT SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HAWTHORNE LN STE 200, CHARLOTTE, NC 28204-2467
(704) 316-5100
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5100
(704) 316-5101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2017-00517
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
2017-00517
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
37609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017184560002
—
PA
Enumeration date
07/09/2006
Last updated
02/05/2019
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