Individual
DAVID SEABOLT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3867 ROSWELL RD NE STE 100, ATLANTA, GA 30342-4452
(678) 904-5611
Mailing address
7610 OLD SADDLE RIDGE WAY, CUMMING, GA 30028-8902
(678) 887-5901
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
02492
GA
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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