Provider Demographics
NPI:1023317997
Name:SEABOLT, JULIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:
Last Name:SEABOLT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SEMINOLE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-3017
Mailing Address - Country:US
Mailing Address - Phone:864-282-0022
Mailing Address - Fax:
Practice Address - Street 1:6 SEMINOLE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-3017
Practice Address - Country:US
Practice Address - Phone:864-282-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0190501835P0018X, 1835P1300X
SC0104581835P0018X, 1835P1300X
TX356011835P0018X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric