Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 016544 | ME |
NPI | 1023084233 |
---|---|
Provider Name | Cheryl K Seymour |
First Address | Augusta, ME 04330-5736 |
Second Address | Augusta, ME 04330-5736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 16/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
431794299 | (05) | ME |
I32177 | (02) | ME |