Provider Demographics
NPI:1568448736
Name:SEELEY, JAMES E III (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:SEELEY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1903 OLD HICKORY BLVD
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2856
Mailing Address - Country:US
Mailing Address - Phone:615-847-5078
Mailing Address - Fax:615-847-0221
Practice Address - Street 1:1903 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:OLD HICKORY
Practice Address - State:TN
Practice Address - Zip Code:37138-2856
Practice Address - Country:US
Practice Address - Phone:615-847-5078
Practice Address - Fax:615-847-0221
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-20
Last Update Date:2011-06-21
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Provider Licenses
StateLicense IDTaxonomies
TNMD011886207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3170797Medicaid
TN77305OtherBLUE CROSS
B59352Medicare UPIN
TN3170797Medicaid