Provider Demographics
NPI:1598170797
Name:SEAGROVE-GUFFEY, MAIGHAN A (DO)
Entity Type:Individual
Prefix:DR
First Name:MAIGHAN
Middle Name:A
Last Name:SEAGROVE-GUFFEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:MAIGHAN
Other - Middle Name:
Other - Last Name:SEAGROVE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:600 MOYE BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-4300
Mailing Address - Country:US
Mailing Address - Phone:252-744-1959
Mailing Address - Fax:
Practice Address - Street 1:617 6TH AVE W
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-3503
Practice Address - Country:US
Practice Address - Phone:828-698-2393
Practice Address - Fax:828-698-2390
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA78413207R00000X
NC2018-01390207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNN4558COtherMEDICARE