Provider Demographics
NPI:1902135874
Name:SEAMED SERVICES PLLC
Entity Type:Organization
Organization Name:SEAMED SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:POLICARPO
Authorized Official - Middle Name:RODNEY
Authorized Official - Last Name:DESPAIGNE
Authorized Official - Suffix:
Authorized Official - Credentials:PAC
Authorized Official - Phone:910-371-1980
Mailing Address - Street 1:796 JACKEYS CREEK LN SE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9204
Mailing Address - Country:US
Mailing Address - Phone:910-371-1980
Mailing Address - Fax:
Practice Address - Street 1:796 JACKEYS CREEK LN SE
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-9204
Practice Address - Country:US
Practice Address - Phone:910-371-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC161598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty