Provider Demographics
NPI:1902959935
Name:SEALS, DONAID (DC)
Entity Type:Individual
Prefix:DR
First Name:DONAID
Middle Name:
Last Name:SEALS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5170 WRIGHTSBORO RD STE A
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-2885
Mailing Address - Country:US
Mailing Address - Phone:706-400-4333
Mailing Address - Fax:706-400-4433
Practice Address - Street 1:5170 WRIGHTSBORO RD STE A
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-2885
Practice Address - Country:US
Practice Address - Phone:706-400-4333
Practice Address - Fax:706-400-4433
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8020111N00000X
GACHIR009776111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU82810Medicare UPIN
FL53901BMedicare ID - Type Unspecified