Individual
GEORGIA KANNON SEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10800 MIDLOTHIAN TPKE STE 309, NORTH CHESTERFIELD, VA 23235-4796
(804) 549-4030
(804) 549-4032
Mailing address
7201 GLEN FOREST DR STE 200, RICHMOND, VA 23226-3759
(804) 549-4030
(804) 549-4032
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101048279
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300119
UNITED HEALTHCARE
—
01
—
070010579
RAILROAD MEDICARE
—
01
—
107147
ANTHEM
—
01
—
147157
SOUTHERN HEALTH
—
05
—
5900921
—
VA
01
—
785171
AETNA
—
Enumeration date
08/09/2005
Last updated
07/08/2025
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