Individual
DARA ADINA SEELIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
BRENNER CHILDREN'S HOSPITAL WAKE FOREST BAPTIST HEALTH, WINSTON SALEM, NC 27157-0001
(336) 713-4500
Mailing address
PROVIDER ENROLLMENT, PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
0010-07481
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/06/2017
Last updated
08/25/2017
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