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Individual

WILLIAM EDWARD SEELY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
219 STONEBRIDGE BLVD, JACKSON, TN 38305-2040
(731) 661-9825
Mailing address
24 PHYSICIANS DR, JACKSON, TN 38305-2085
(731) 661-9825

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23847
MS
208VP0014X
Interventional Pain Medicine Physician
Primary
54063
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09956264
MS
Enumeration date
07/07/2011
Last updated
03/15/2023
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