Individual
EDWIN G. SEELYE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 288-8029
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 288-8029
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
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