Individual
MR. ROGER B SEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
12 APPLEWOOD DR, HAMPTON, VA 23666-2890
(757) 303-8855
(757) 325-8221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000061
GA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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