Individual
JASON RANDALL SEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 7TH ST SE, POST OFFICE BOX 1029, DECATUR, AL 35601-3341
(256) 355-6414
Mailing address
POST OFFICE BOX 1029, DECATUR, AL 35602-1029
(256) 355-6414
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30088
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/22/2008
Last updated
06/06/2012
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