Individual
DOMINIC SHAY SEYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
165 N PARK TRL, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686
Mailing address
165 N PARK TRL, STOCKBRIDGE, GA 30281-6500
(770) 506-1800
(770) 506-4686
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
063530
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
936797692A
—
GA
05
—
936797692B
—
GA
05
—
936797692C
—
GA
05
—
936797692D
—
GA
05
—
936797692E
—
GA
05
—
936797692G
—
GA
Enumeration date
06/29/2007
Last updated
08/16/2023
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