Provider Demographics
NPI:1982331039
Name:SEAY, IVORY
Entity Type:Individual
Prefix:
First Name:IVORY
Middle Name:
Last Name:SEAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 WINCHESTER HILLS WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215-9614
Mailing Address - Country:US
Mailing Address - Phone:205-317-0871
Mailing Address - Fax:
Practice Address - Street 1:4477 WINCHESTER HILLS WAY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35215-9614
Practice Address - Country:US
Practice Address - Phone:205-317-0871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider