Provider Demographics
NPI:1740412444
Name:SEYDOC, INC
Entity Type:Organization
Organization Name:SEYDOC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:YAPTENGCO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-227-2763
Mailing Address - Street 1:1526 BLAKEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:GA
Mailing Address - Zip Code:30620-3131
Mailing Address - Country:US
Mailing Address - Phone:678-227-2763
Mailing Address - Fax:
Practice Address - Street 1:1968 W SPRING ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-3903
Practice Address - Country:US
Practice Address - Phone:678-227-2763
Practice Address - Fax:770-266-6095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-13
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty