Individual
CHARLES EDDY SEACRIST III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
150 7TH AVE, CHARDON, OH 44024-2908
(440) 285-2900
Mailing address
38401 MENTOR AVE UNIT 7303, WILLOUGHBY, OH 44094-8760
(440) 221-6634
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
430272
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
00208882
OH
Other
Enumeration date
05/22/2023
Last updated
09/12/2023
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