Seymore, Dominic Shay
Seymore, Dominic Shay is an individual health care provider with primary practice located at 165 N Park Trl , Stockbridge GA 30281-6500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Seymore, Dominic Shay can be contacted via phone (770) 506-1800.Contact Information
Primary practice address
165 N Park Trl
Stockbridge GA 30281-6500
Phone: (770) 506-1800
Fax: (770) 506-4686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 063530 | Georgia |
Profile Details
| NPI number | 1679770036 |
|---|---|
| LBN Legal business name | Seymore, Dominic Shay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2007 |
| Last updated | Aug 16th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679770036 | NPPES |
| Georgia | MEDICAID | 936797692E | |
| Georgia | MEDICAID | 936797692C | |
| Georgia | MEDICAID | 936797692A | |
| Georgia | MEDICAID | 936797692B | |
| Georgia | MEDICAID | 936797692G | |
| Georgia | MEDICAID | 936797692D |
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