Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 88391 | GA |
NPI | 1003310475 |
---|---|
Provider Name | Keri Leigh Seamon |
First Address | Marietta, GA 30060 |
Second Address | Marietta, GA 30060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2018 |
Last Update Date | 01/07/2021 |