| Davidrandalsealemdpllc | |
|
8870 Cedar Springs Ln Suite 209 Knoxville TN 37923-5407 | |
| (865) 690-4050 | |
| (865) 690-0720 |
| Full Name | Davidrandalsealemdpllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8870 Cedar Springs Ln, Knoxville, Tennessee |
| Authorized Official Name and Position | David Randal Seale (PRESIDENT) |
| Authorized Official Contact | 8656904050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidrandalsealemdpllc 8870 Cedar Springs Ln Suite 209 Knoxville TN 37923-5407 Ph: (865) 690-4050 | Davidrandalsealemdpllc 8870 Cedar Springs Ln Suite 209 Knoxville TN 37923-5407 Ph: (865) 690-4050 |
| NPI Number | 1902239064 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 08/13/2013 |
| Medicare PECOS PAC ID | 6305071622 |
|---|---|
| Medicare Enrollment ID | O20131022002007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902239064 | NPI | - | NPPES |
| 3853991 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 31518 (Tennessee) | Primary |
| Provider Name | David R Seale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255420006 PECOS PAC ID: 6103715776 Enrollment ID: I20040311001411 |
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