Individual
EDWIN G. SEELYE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
219690
NC
207R00000X
Internal Medicine Physician
Primary
30845
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30845
MEDICAL LICENSE
MS
Enumeration date
05/23/2016
Last updated
10/24/2022
Update your record
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