Provider Demographics
NPI:1336139971
Name:SEID, MELVIN HANK (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:HANK
Last Name:SEID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTIMETERS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-4075
Mailing Address - Country:US
Mailing Address - Phone:800-867-2289
Mailing Address - Fax:864-627-9920
Practice Address - Street 1:10 CENTIMETERS DR
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-3278
Practice Address - Country:US
Practice Address - Phone:800-867-2289
Practice Address - Fax:864-627-9920
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME122339207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015444100Medicaid
NC2271327CMedicare PIN
FL015444100Medicaid
NC2271327AMedicare PIN
NC2271327Medicare ID - Type Unspecified
NC2271327Medicare ID - Type Unspecified