Organization
NORTHWEST NEUROLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARTIN SEALES M.D. (NEUROLOGIST)
(336) 838-7111
Entity
Organization
Contact information
Practice address
1520 MEADOWVIEW DR, WILKESBORO, NC 28697-7348
(336) 838-7111
(336) 838-4299
Mailing address
1520 MEADOWVIEW DR, WILKESBORO, NC 28697-7348
(336) 838-7111
(336) 838-4299
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35748
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952393605
INDIVIDUAL NPI
NC
01
—
2173867
NC MEDICARE PTAN
—
Enumeration date
02/24/2014
Last updated
02/24/2014
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