Provider Demographics
NPI:1093035602
Name:SEAL, JAMES HARGETT (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:HARGETT
Last Name:SEAL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 TRAMWAY PL
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-8949
Mailing Address - Country:US
Mailing Address - Phone:252-916-9539
Mailing Address - Fax:
Practice Address - Street 1:2700 WAYNE MEMORIAL DRIVE
Practice Address - Street 2:EASTERN MEDICAL ASSOICATE HOSPITALISTS
Practice Address - City:GOLDBSORO
Practice Address - State:NC
Practice Address - Zip Code:27534
Practice Address - Country:US
Practice Address - Phone:252-916-9539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102454282N00000X, 363AM0700X
WI22750363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No282N00000XHospitalsGeneral Acute Care Hospital