Provider Demographics
NPI:1063498913
Name:SEAL, JOSEPH K (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:SEAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1401 APPLEWOOD DR
Mailing Address - Street 2:STE 1
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2699
Mailing Address - Country:US
Mailing Address - Phone:706-270-5003
Mailing Address - Fax:706-270-5111
Practice Address - Street 1:1 WOODBINE AVE NW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2397
Practice Address - Country:US
Practice Address - Phone:706-314-0019
Practice Address - Fax:706-314-0343
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2011-09-27
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Provider Licenses
StateLicense IDTaxonomies
GA357542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF34401Medicare UPIN
GA26BDCHLMedicare PIN