Provider Demographics
NPI:1558499434
Name:SEAMANS, PHILLIP TIMOTHY (PA)
Entity Type:Individual
Prefix:MR
First Name:PHILLIP
Middle Name:TIMOTHY
Last Name:SEAMANS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1272 BILL HOOKS RD
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-9065
Mailing Address - Country:US
Mailing Address - Phone:910-654-3143
Mailing Address - Fax:910-654-4144
Practice Address - Street 1:104 E 7TH AVE
Practice Address - Street 2:
Practice Address - City:CHADBOURN
Practice Address - State:NC
Practice Address - Zip Code:28431-1402
Practice Address - Country:US
Practice Address - Phone:910-654-3143
Practice Address - Fax:910-654-4144
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC100857363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical