Individual
MS. HEATHER L SEAVOLT-MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13620 CRAYTON BOULEVARD, HAGERSTOWN, MD 21742-2685
(240) 313-9890
(240) 313-9891
Mailing address
12634 KNEPPER RD, CLEAR SPRING, MD 21722-1438
(240) 818-8496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003468
MD
Other
Enumeration date
01/23/2007
Last updated
11/27/2018
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