Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 077310 | GA |
N | 207PP0204X | Pediatric Emergency Physician | 4301087922 | MI |
N | 208000000X | Pediatrician | 4301087922 | MI |
NPI | 1427179274 |
---|---|
Provider Name | Dr. Desiree Michelle Seeyave |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 18/05/2020 |