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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1679770036 NPPES
Georgia MEDICAID 936797692E
Georgia MEDICAID 936797692C
Georgia MEDICAID 936797692A
Georgia MEDICAID 936797692B
Georgia MEDICAID 936797692G
Georgia MEDICAID 936797692D

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