Provider Demographics
NPI:1891726287
Name:SEIGNIOUS, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:SEIGNIOUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3312 MAYBANK HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-4818
Mailing Address - Country:US
Mailing Address - Phone:843-557-1111
Mailing Address - Fax:843-557-1050
Practice Address - Street 1:3312 MAYBANK HWY
Practice Address - Street 2:SUITE A
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4818
Practice Address - Country:US
Practice Address - Phone:843-557-1111
Practice Address - Fax:843-557-1050
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13235207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3693Medicaid
SC132350Medicaid
SCB920757666Medicare ID - Type UnspecifiedMEDICARE
SC132350Medicaid