| Doctor Name: | DR. COREY SEAHORN |
| NPI Number: | 1629449707 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, PHD. |
| License Number: | MD326653 |
| Business Practice Address: | 4877 Highway 56 Russellville, AL - 356548608 |
| Business Phone Number: | 2564604632 |
| Business Fax Number: | 8662391538 |
| Mailing Address: | 4877 Highway 56, RUSSELLVILLE |
| State: | AL |
| Postal Code: | 356548608 |
| Phone Number: | 2564604632 |
| Fax Number: | 8662391538 |
| NPI Enumeration Date: | 10/14/2015 |
| NPI Last Update Date: | 12/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD326653 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |