Individual
GEORGETA SEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-5547
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6382
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0110004905
VA
363A00000X
Physician Assistant
Primary
0110004905
VA
Other
Enumeration date
04/23/2015
Last updated
04/02/2024
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