Individual
MR. SEABORN A RODDENBERY V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 10TH AVE, STE 201, COLUMBUS, GA 31901-3600
(706) 984-7400
(706) 984-7401
Mailing address
1900 10TH AVE, SUITE 201, COLUMBUS, GA 31901-3600
(706) 984-7400
(706) 984-7401
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
063806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1067717
—
LA
05
—
148772
—
AL
01
—
202I024575
MEDICARE PTAN
GA
05
—
675260995
—
GA
Enumeration date
08/05/2007
Last updated
06/27/2016
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