Individual
JAMIE SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117-7594
(704) 384-7101
(704) 384-7102
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-00355
NC
207Q00000X
Family Medicine Physician
DO-04671
IA
Other
Enumeration date
07/17/2013
Last updated
10/26/2020
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