Individual
SAMUEL DEAN SEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
(662) 756-4114
Mailing address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
(662) 756-4114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R857764
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000124089
—
MS
05
—
9013863
—
MS
01
—
COO727
PART B PHYSICIAN PRO FEE
MS
Enumeration date
06/11/2006
Last updated
07/09/2007
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