Individual
DR. CLINT THURMOND SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 WINDING CREEK CV, CONWAY, AR 72034-8761
(864) 980-2970
(501) 222-6741
Mailing address
7 WINDING CREEK CV, CONWAY, AR 72034-8761
(864) 980-2970
(501) 222-6741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-12736
AR
207Q00000X
Family Medicine Physician
T6378
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
23619
SC
261QU0200X
Urgent Care Clinic/Center
140794
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H863850281
MEDICARE PTAN
—
01
—
P00430617
MEDICARE RAILROAD PTAN
SC
05
—
T78680
—
SC
Enumeration date
08/31/2005
Last updated
01/05/2024
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