Individual
LARAE L SEEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4340 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 333-9736
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
103804
GA
207Q00000X
Family Medicine Physician
ME158822
FL
207Q00000X
Family Medicine Physician
TRN33656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124273900
—
FL
Enumeration date
03/23/2021
Last updated
05/12/2025
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