Provider Demographics
NPI:1851626329
Name:NOLAND, SETH LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:LAWRENCE
Last Name:NOLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6150 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-1574
Mailing Address - Country:US
Mailing Address - Phone:614-546-4808
Mailing Address - Fax:614-546-4627
Practice Address - Street 1:115 HEART DR
Practice Address - Street 2:ECU PHYSICIANS CARDIOVASCULAR SURGERY
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8982
Practice Address - Country:US
Practice Address - Phone:252-744-4400
Practice Address - Fax:252-744-3987
Is Sole Proprietor?:No
Enumeration Date:2009-10-16
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.0989032086S0129X
NC2016-00429208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1851626329Medicaid
NC19KJEOtherBCBS OF NC
NCNCT380AMedicare PIN