Individual
GYEONG W SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Mailing address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0000092946
TN
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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