Organization
FDSEIFER PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC D SEIFER M.D. (OWNER)
(931) 684-0488
Entity
Organization
Contact information
Practice address
112 AIRPORT BUSINESS PARK ROAD, SUITE D, SHELBYVILLE, TN 37160-7447
(931) 684-0488
(931) 684-2466
Mailing address
112 AIRPORT BUSINESS PARK ROAD, SUITE D, SHELBYVILLE, TN 37160-7447
(931) 684-0488
(931) 684-2466
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19055
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4213638
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/06/2009
Last updated
08/03/2010
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