Individual
JESSE B SEAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 725-1226
(540) 857-5306
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 725-1226
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101257741
VA
207XX0801X
Orthopaedic Trauma Physician
0101042429
VA
207XX0801X
Orthopaedic Trauma Physician
2014008614
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306002431
OPTIMA HEALTH PLAN
VA
01
—
540506332108
TRICARE
VA
01
—
P01544661
RAILROAD MEDICARE
VA
Enumeration date
07/29/2008
Last updated
12/10/2020
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