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Organization

SEALE WOMEN'S CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFFREY K SEALE M.D. (OWNER)
(601) 703-9617
Entity
Organization

Contact information

Practice address
1800 12TH ST STE 4A, MERIDIAN, MS 39301-4158
(601) 703-4920
Mailing address
PO BOX 808, MERIDIAN, MS 39302-0808
(601) 703-4920

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09452206
MS
Enumeration date
06/23/2009
Last updated
02/15/2012
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