Seago, Mark Andrew

Seago, Mark Andrew is an individual health care provider with primary practice located at 1224 Trotwood Avenue , Columbia TN 38401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Seago, Mark Andrew can be contacted via phone (931) 380-4072.

Contact Information

Primary practice address
1224 Trotwood Avenue Columbia TN 38401
Phone: (931) 380-4072
Fax: (931) 490-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TN035012 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD35012 Tennessee

Profile Details

NPI number 1497732762
LBN Legal business name Seago, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jan 27th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497732762 NPPES
Tennessee MEDICAID 3861725
Tennessee MEDICAID 3861726
Tennessee Other 4003190
Tennessee MEDICAID 3283015

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