Individual
MICHAEL D SEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
19357
SC
367500000X
Certified Registered Nurse Anesthetist
4704145937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430H249070
BCBS PIN
MI
05
—
4326191 10
—
MI
05
—
AN2423
—
SC
Enumeration date
01/23/2006
Last updated
12/29/2021
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