Doctor Name: | MRS. MALISHA DODSON SEALS |
NPI Number: | 1699050518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | RN0000082347 |
Business Practice Address: | 178 Willow St Sneedville, TN - 378693666 |
Business Phone Number: | 4237332228 |
Business Fax Number: | |
Mailing Address: | 6644 Tazewell Hwy, SNEEDVILLE |
State: | TN |
Postal Code: | 378696847 |
Phone Number: | 4233000006 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN0000082347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |