Organization
DAVIDRANDALSEALEMDPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RANDAL SEALE M.D. (PRESIDENT)
(865) 690-4050
Entity
Organization
Contact information
Practice address
8870 CEDAR SPRINGS LN, SUITE 209, KNOXVILLE, TN 37923-5407
(865) 690-4050
(865) 690-0720
Mailing address
8870 CEDAR SPRINGS LN, SUITE 209, KNOXVILLE, TN 37923-5407
(865) 690-4050
(865) 690-0720
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31518
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3853991
—
TN
Enumeration date
08/13/2013
Last updated
08/13/2013
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