Individual
MR. SEAN THOMAS SENGIAWASA MEADORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SSIDC
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(912) 573-6390
Mailing address
UNIT 100241 BOX 400, FPO, AA 34091-4104
(912) 674-8640
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
04/30/2018
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