Individual
ALLIE BOYD SEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 HIGHWAY 45 BYP S, MEDINA, TN 38355-9633
(731) 462-0000
Mailing address
46 GREY BARK CV, JACKSON, TN 38305-3843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4165
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2019
Last updated
07/23/2020
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