Individual
MR. SETH LIAM JAUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1991 FORDHAM DR, FAYETTEVILLE, NC 28304-3773
(910) 491-6793
(833) 428-3630
Mailing address
PO BOX 39240, BELFAST, ME 04915-1234
(910) 333-0513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10657
NC
363AM0700X
Medical Physician Assistant
Primary
0010-10657
NC
Other
Enumeration date
10/01/2020
Last updated
03/26/2026
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