Seymore, Kisa W

Seymore, Kisa W is an individual health care provider with primary practice located at 1025 N Main St , Cedartown GA 30125-2036. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Seymore, Kisa W can be contacted via phone (770) 748-0076.

Contact Information

Primary practice address
1025 N Main St Cedartown GA 30125-2036
Phone: (770) 748-0076
Fax: (770) 748-9323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4221 Georgia
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4221 Georgia

Profile Details

NPI number 1841200375
LBN Legal business name Seymore, Kisa W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Nov 27th, 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 1841200375 NPPES
Georgia MEDICAID 003125281A

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